2014-08-07T17:42:14-05:00 2013-09-30 990 2012-10-01 042767880 HALLMARK HEALTH SYSTEMINC HALL 7813387424 170 GOVERNORS AVENUE MEDFORD MA 02155 MICHAEL V SACK 7813387424 2014-08-01 false 2014-08-07 2012 2015-11-30 17:44:51Z LAWRENCE MEMORIAL HOSPITAL OF MICHAEL V SACK 170 GOVERNORS AVENUE MEDFORD MA 02155 340337380 false X HTTP://WWW.HALLMARKHEALTH.ORG X 1982 MA 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. 14 10 2894 200 1441283 2598633 2641984 285528877 257348825 6184161 9649260 1121252 1310586 295432923 270950655 0 0 159263925 156517799 0 0 112418762 100590253 271682687 257108052 23750236 13842603 317298201 345861629 167462249 175866903 149835952 169994726 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. false false 203995183 257348825 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. 203995183 true true false false false false false false false true true false false false true false false true false false false false false false true false true true false false true true false false false false false true false false false false false false false false true true true true false false true 231 0 true 2894 true true true false false false false true true false false false false X 14 10 false false false false true true true true true false false true true true true true true true true true true MA X X X JAMES A NANIA CFO 7813387424 170 GOVERNORS AVE MEDFORD MA 02155 MVSACK 3.00 40.00 X X 0 1097905 92979 WJ DOHERTY MD 3.00 40.00 X 0 403506 9548 EPBUTLER MD 3.00 40.00 X 266625 51988 62142 J KEENAN 3.00 X 0 0 0 D WEST 4.00 X 0 0 0 RS CUMMINGS 3.00 X 0 0 0 KE HENRIKSON MD 3.00 X 0 0 0 J HERRINGTON 3.00 X 0 0 0 E GEORGE 3.00 X 0 0 0 R SWANSON JR 3.00 X 0 0 0 W LAWRENCE III 3.00 X 0 0 0 JA HACKETT SR 3.00 X 0 0 0 WF RUCCI JR 3.00 X 0 0 0 J KALOYANIDES 3.00 X 0 0 0 S GLASSER 3.00 X 0 0 0 J NANIA 3.00 40.00 X 0 553998 33423 C WHIPPLE 3.00 40.00 X 0 270769 26942 L PETROUS 40.00 X 80091 0 9287 S PICHETTE 40.00 X 0 0 0 TGIOVE 40.00 X 408070 0 16414 S HAND 40.00 X 398240 0 30416 K HOPPE 40.00 X 325055 0 34449 M TURILLI 40.00 X 310861 0 33438 C DRESSER 40.00 X 219255 0 21531 D RICHARDSON 40.00 X 210596 0 39427 M MCCARTHY 40.00 X 192410 0 31882 M PIEROG 40.00 X 189773 0 22598 J PENNACCHIO MD 40.00 X 453932 0 25365 R EISENBERG MD 40.00 X 398190 0 36462 L MCCADDEN 40.00 X 347242 0 35050 RJ WELCH MD 40.00 X 257055 0 42843 S SCHURGIN MD 40.00 X 213757 0 5170 A MACDONALD 3.00 40.00 X 0 33196 0 4271152 2411362 609366 191 true true false SODEXHO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 MGT/CONSULTING 2165773 MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS MN 55480 LAB ANALYSIS 1799157 PATRIOT MEDICAL TECH OF OHIO INC PO BOX 415000 NASHVILLE TN 372415000 MEDICAL EQUIP 1225857 ALLIED BARTON SERVICES PO BOX 828854 PHILADELPHIA PA 191828854 SECURITY 1146894 ANGELICA CORPORATION PO BOX 823283 PHILADELPHIA PA 191823283 LAUNDRY 993157 55 123681 1347863 1170440 2641984 MEDICAL SERVICES 622110 255753867 255753867 MEDICAL STAFF & SUPPORT SVS 541900 1441283 1441283 MONTVALE PET/CT K1 621512 153675 153675 257348825 6964684 6964684 1315244 1315244 1315244 1315244 71970506 69285930 2684576 2684576 2684576 96137 123681 100795 -4658 -4658 270950655 255907542 1441283 10959846 1895225 1895225 126076508 105645583 20430925 4344884 3505018 839866 14479606 11183600 3296006 9721576 7831776 1889800 6325708 3028311 3297397 1543357 1543357 306310 306310 244356 244356 17164107 14542954 2621153 1380105 324750 1055355 38993224 34655158 4338066 3451057 3451057 8031286 6482411 1548875 201045 94179 106866 215885 85500 130385 2523912 2019129 504783 16122610 12091957 4030653 730661 730661 DUES 1054489 616376 438113 MINOR EQUIP 376453 363673 12780 BOND & BANK FINANCE CHG 239208 239208 LICENSES 207026 150376 56650 1479454 1135224 344230 257108052 203995183 53112869 0 10746162 4948957 1470948 1473082 28090850 30902137 5855486 6722844 2680853 2740690 10083079 11510966 349948220 273569016 73438370 76379204 165112359 184916367 10015929 10418970 9804165 15848412 317298201 345861629 36296569 37466912 78865251 97492516 12329639 7447591 39970790 33459884 167462249 175866903 X 132811041 152452664 2379337 2443017 14645574 15099045 149835952 169994726 317298201 345861629 X 13842603 6316171 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17024911 506053 1155798 -1144700 17542062 15730987 847142 1520047 -1073265 17024911 16664200 582895 -431094 -1085014 15730987 16307379 636980 895385 -1175544 16664200 0.86080 0.13920 false false 1422964 1422964 159892501 134716477 25176024 8635562 5784908 2850654 177009960 133067631 43942329 2987233 2987233 76379204 10418970 15848412 ESTIMATED SETTLEMENTS 3RD PARTY PAY 11694321 PENSION LIABILITY 11008958 INSURANCE & OTHER LT LIABILITIES 6370048 DUE FROM AFFILIATES 2656045 ASSET RETIREMENT OBLIGATIONS-FIN 47 1018631 NURSING SCHOOL LONG TERM LIABILITIES 711881 33459884 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 THE ENDOWMENT FUNDS ARE USED TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION IN PROVIDING HEALTHCARE TO THE SURROUNDING COMMUNITIES. MA HALLMARK MWH GO 100173 64238 35935 7144 21452 11136 7880 HALLMARK LMH GO 84355 39148 45207 5850 12523 15214 2248 1 35290 20295 14995 5810 4964 4795 1779 219818 123681 96137 18804 38939 31145 11907 100795 -4658 MA true true X true X true X true true false true true 4191775 238810 3952965 0.01540 32737952 28515515 4222437 0.01640 16027 7465 8562 36945754 28761790 8183964 0.03180 70 63740 3440234 153578 3286656 0.01270 6 1800 11583041 9463832 2119209 0.00820 1 184 1175178 758516 416662 0.00160 3 6449 316500 316500 0.00120 10 2271 88465 88465 0.00040 90 74444 16603418 10375926 6227492 0.02410 90 74444 53549172 39137716 14411456 0.05590 2618 2618 8159 8159 14616 14616 0.00010 2051 2051 27444 27444 0.00010 false 2804338 98218750 99450762 -1232012 X true true 13 1 MELROSE WAKEFIELD HOSPITAL

585 LEBANON STREET MELROSE MA 02176

X X X A 2 LAWRENCE MEMORIAL HOSPITAL

170 GOVERNORS AVE MEDFORD MA 02155

X X X A 3 HALLMARK ONCOLOGY & HEMATOLOGY CTR

41 MONTVALE AVE STONEHAM MA 02180

OUTPATIENT MEDICAL A 4 CHEM CENTER FOR RADIATION & MRI

48 MONTVALE AVE STONEHAM MA 02180

OUTPATIENT MEDICAL A 5 LAWRENCE MEMORIAL HOSPITAL MEDICAL PROGRAM

101 MAIN STREET MEDFORD MA 02155

OUTPATIENT MEDICAL A 6 HALLMARK OUTPAT DIAGNOSTIC & REHAB

30 NEWCROSSING ROAD READING MA 01867

OUTPATIENT MEDICAL A 7 HEALTH IMAGE WOMAN'S IMAGING CENTER

830 MAIN STREET MELROSE MA 02176

IMAGING CENTER A 8 LMH REHABILITATION SERVICES

101 MAIN STREET MEDFORD MA 02155

PT & REHAB SERVICE A 9 MELROSE-WAKEFIELD HOSP REHAB SERV

22 COREY STREET MELROSE MA 02176

PT & REHAB SERVICE A 10 FAMILY MEDICAL ASSOCIATES

101 MAIN STREET MEDFORD MA 02155

PHYSICIAN OFFICE A 11 LAWRENCE MEMORIAL HOSPITAL PROGRAM

200 GOVERNORS AVE MEDFORD MA 02155

PSYCHIATRIC SERVICE A 12 HALLMARK COMMUNITY COUNSELING

101 MAIN STREET MEDFORD MA 02155

OUTPATIENT COUNSELING A 13 COMMUNITY COUNSELING CENTER

178 SAVIN STREET MALDEN MA 02148

OUTPATIENT COUNSELING A A true X X X X X X X X X X 12 true false true X X X X X X X X X X true false true true 200.0 true 400.0 true X X X X X true true X X X X true X X true X X X X X true X false false EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F BAD DEBT EXPENSE 8774827 COSTING METHODOLOGY EXPLANATION PART I LINE 7 CHARITY CARE COSTS FROM WORKSHEETS 1 2 AND UNREIMBURSED MEDICAID FROM WORKSHEET 3 AND HEALTH PROFESSIONS EDUCATION FROM WORKSHEET 5 WERE APPLIED TO ALL PATIENT SEGMENTS COST TO CHARGE RATIO COMMUNITY BUILDING ACTIVITIES PART II AS PART OF ITS EFFORTS TO IMPROVE THE HEALTH STATUS OF ITS CORE COMMUNITIES HALLMARK HEALTH PARTICIPATES IN A VARIETY OF BROADBASED 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 MALDEN HIGH SCHOOL TEEN PARENT TASK FORCE THE EVERETT JOINT COMMITTEE FOR CHILDRENS HEALTHCARE IN EVERETT MYSTIC VALLEY ELDER SERVICES PROVIDER TASK FORCE LOCAL COUNCILS ON AGING HEALTHY FAMILIES COMMUNITY COALITION MEDFORD FAMILY RESOURCE COALITION THE MELROSE SUBSTANCE ABUSE PREVENTION COALITIONAND THE MALDEN AND EVERETT AND MEDFORD FAMILY NETWORKS A SPECIFIC EXAMPLE OF THIS COMMUNITY BUILDING IS HALLMARK HEALTHS REPRESENTATION ON THE MELROSE ALLIANCE AGAINST VIOLENCE MAAV MAAV IS A NONPROFITCOMMUNITYBASED 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 REPRESENTATIVES FROM THE POLICE SCHOOLSCLERGY HOSPITAL BUSINESS COMMUNITY HEALTH DEPARTMENT 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 FORMAL HEALTHY MELROSE DIABETES DAY MOBILE FOOD MARKET THEREBY PROMOTING MUTIPLE OPPORTUNITIES TO INTERACT WITH A WIDERANGE OF COMMUNITY MEMBERS IN WAYS THAT BUILD A TRUSTING RELATIONSHIPWHICH IS KEY TO TRULY LISTENING TO THE VOICE OF INDIVIDUAL COMMUNITY MEMBERS AS HALLMARK HEALTH MOVES FORWARD IN ITS COMMUNITY BENEFITS PLANNING PROCESS IT WILL CONTINUE TO UTILIZE THE COLLECTIVE KNOWLEDGE OF THE TEAMS TO THIS AIM THE TEAMSORGANIZING CHARTERS HAVE BEEN REWRITTEN TO HELP GUIDE THE MEMBERSHIP TOWARD MORE FORMAL COMMUNITY SERVICESCOMMUNITY BENEFITS ACTIVITIESRELEVANT HEALTH DATA AND THE IDENTIFIED TARGET POPULATION LISTS IS PROVIDED FOR EACH TEAM CAPTAIN TO ASSIST THEM IN PLANNING PROGRAMS IN THEIR COMMUNITIES CURRENTLY THERE ARE SIX 6 COMMUNITY OUTREACH TEAMS NAMED FOR MALDENMEDFORD MELROSE WAKEFIELD READINGNORTH READING AND STONEHAM THE TEAMS CONTINUOUSLY SOLICIT INPUT FROM KEY COMMUNITY LEADERS INCLUDING SUPERINTENDENTS OF SCHOOLS STATE REPRESENTATIVES BUSINESS LEADERS FIRE AND POLICE PERSONNEL AND LOCAL HEALTH DEPARTMENTS MANY OF THE EMPLOYEES AT HALLMARK HEALTH WHO SERVE ON THE TEAMS ALSO PARTICIPATE IN A NUMBER OF OTHER COMMUNITY GROUPS AND CIVIC ORGANIZATIONSEMPLOYEE VOLUNTEERS STAFF THE COMMUNITY TEAMSMORE THAN 75 EMPLOYEES VOLUNTEERS AND PHYSICIANS WERE INVOLVED IN A TEAM OR A TEAMSPONSORED EVENT IN 2013 THE COMMUNITY TEAMS 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 BAD DEBT EXPENSE EXPLANATION PART III LINE 4 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 WRITTENOFF 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 TAXEXEMPT 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 CORPORATIONS CHARITY CARE POLICY IN ASSESSING A PATIENTS 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 2013 AND 2012THE CORPORATION ESTIMATED THAT THE COST ASSOCIATED WITH THE CHARITY CARE PROVIDED WAS APPROXIMATELY 2277000 AND 2447000 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 CORPORATIONTHE PROVISION FOR BAD DEBTS OF 8807000 AND 8645000 IN 2013 AND 2012 RESPECTIVELY REPRESENTS THE CHARGES FOR SERVICES PROVIDED THAT ARE DEEMED TO BE UNCOLLECTIBLE THE ESTIMATED COST OF PROVIDING THESE SERVICES DEEMED UNCCLLECTIBLE WAS APPROXIMATELY 3676000 FOR 2013 AND 3502000 FOR 2012 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 CORPORATIONS NET OBLIGATION TO THE HSN AS OF SEPTEMBER 302013 AND 2012 THE CORPRATIONS SHARE OF THE TOTAL COMMONWEALTHS ASSESSMENT WAS 1913883 FOR 2013 AND 1954767 FOR 2012 DURING 2013 AND 2012 THE CORPORATION RECEIVED REIMBURSEMENT FROM THE HSN IN THE AMOUNTS OF 893476 AND 1110124 RESPECTIVELY TOTAL UNCOMPENSATED CARE PROVIDED BY ALL RELATED CORPORATIONS FOR THE YEARS ENDED SEPTEMBER 30 2013 AND 2012 IS AS FOLLOWS 2013 2012 PROVISION FOR CHARITY CAREAT COST 2276716 2446782 PROVISION FOR BAD DEBTSAT COST 3676180 3502000 HSN NET 1020407 844643 TOTAL UNCOMPENSATED CARE 6973303 6793425 TOTAL HALLMARK HEALTH SYSTEMINC UNCOMPENSATED CARE FOR FYE 2013 2012 IS AS FOLLOWS 2013 2012 PROVISION FOR CHARITY CAREAT COST 2258150 2428767 PROVISION FOR BAD DEBTSAT COST 3662612 3374180 HSN NET 1020407 844643 TOTAL UNCOMPENSATED CARE 6941169 6647590 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 CORPORATIONS 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 CORPORATIONS 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 MEDICARE EXPLANATION PART III LINE 8 MEDICARE REIMBURSEMENT SHORTFALL USING ALLOWABLE COSTS FROM MEDICARE COST REPORT COLLECTION PRACTICES EXPLANATION PART III LINE 9B 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 NEEDS ASSESSMENT PART VI LINE 2 NEEDS ASSESSMENT DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES INTRODUCTION HALLMARK HEALTH SYSTEM IS A NOTFORPROFIT 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 WE DO THIS BY REINVESTING OUR SURPLUS FUNDS BACK INTO THE COMMUNITIES THROUGH VARIOUS PROGRAMS AND SERVICES MAKING SURE THAT CARE IS AVAILABLE TO EVERYONE REGARDLESS OF HIS OR HER ABILITY TO PAY USING COMPASSION AS THE CORNERSTONE FOR OUR WORK TO IMPROVE THE HEALTH OF OUR COMMUNITIES PATIENTS AND THEIR FAMILIES ARE ALWAYS TREATED AS PEOPLE FIRST ATTENDING TO THE NEEDS OF THE WHOLE PERSON 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 THE IRS GRANTS US TAX EXEMPTION AS A CHARITABLE COMMUNITYORIENTED ORGANIZATION WITHOUT THIS STATUS WE COULD NOT CONTINUE TO DELIVER THE SAME LEVEL OF COMMUNITY BENEFITS THAT ARE SO IMPORTANT AND NECESSARYTHE FOLLOWING SUMMARIZES A WIDE ARRAY OF ACTIVITIES AND SERVICES THAT MAKE UP OUR COMMUNITY SERVICE BENEFIT PROGRAMS AT THE START OF HALLMARK HEALTHS 2013 FISCAL YEAR THE GOVERNING BOARD OF THE HOSPITAL APPROVED THE 2013 COMMUNITY BENEFITS PLAN HALLMARK HEALTH SYSTEMS COMMUNITY BENEFITS MISSION STATEMENT IS ALSO APPROVED BY THE HOSPITALS GOVERNING BOARD AND STATES HALLMARK HEALTH SYSTEM INC IS COMMITTED TO BUILDING AND SUSTAINING A STRONG VIBRANT AND HEALTHY COMMUNITY HALLMARK HEALTH DEDICATES APPROPRIATE RESOURCES TO COLLABORATIONS WITH COMMUNITY PARTNERS AND THE UTILIZATION OF COMMUNITY MEMBERS INPUT TOWARD IMPROVING HEALTH SERVICES HALLMARK HEALTH PLEDGES TO ACT AS A RESOURCE AND TO WORK WITH THE COMMUNITY DURING EMERGENCIES IMPROVE ACCESS TO CARE IDENTIFY MONITOR AND ADDRESS THE UNIQUE HEALTH CARE NEEDS WITHIN ITS CORE COMMUNITIES AND PROMOTES HEALTHIER LIFESTYLES FOR RESIDENTS THROUGH HEALTH EDUCATION AND PREVENTION ACTIVITIESIN COMPLIANCE WITH IRS GUIDELINES A YEARLONG PROCESS TO DEVELOP A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENTS CHNA WAS COMPLETED BY HALLMARK HEALTH IN AUGUST 2013 IN COLLABORATION WITH THE INSTITUTE FOR COMMUNITY HEALTH ICH A NONPROFIT ORGANIZATION RECOGNIZED FOR COMMUNITYBASED PARTICIPATORY RESEARCH ASSESSMENT AND DISSEMINATIONTHIS PROCESS INCLUDES A REVIEW OF REPUTABLE PUBLIC HEALTH SOCIOECONOMIC AND FOUNDATION DATA INPUT FROM THE HALLMARK HEALTH COMMUNITY BENEFITS ADVISORY COUNCIL COMMUNITY OUTREACH TEAMS PATIENTFAMILY ADVISORY COUNCILS AND FROM LOCAL COMMUNITY COALITIONS AND THE COMMUNITY HEALTH NETWORK AREAS MEMBERSHIP STAKEHOLDER INTERVIEWS AND COMMUNITY SURVEYS WERE ALSO COMPLETEDTO ENSURE COMMUNITY INPUT AND TRANSPARENCY THE COMPLETED RESULTS WILL BE POSTED ON THE HALLMARK HEALTH SYSTEM WEBSITE AS OF THE END OF FY2013 THE HALLMARK HEALTH SYSTEM COMMUNITY BENEFITS ADVISORY COUNCIL COMPRISED OF A MEMBER OF THE HOSPITALS BOARD OF TRUSTEES THE EXECUTIVE VICE PRESIDENT FOR STRATEGY EXTERNAL AFFAIRS THE SYSTEM VICE PRESIDENT OF HOME CARE AND COMMUNITY PROGRAMS THE SYSTEMS CONTROLLER THE EXECUTIVE VICE PRESIDENT AND CHIEF LEGAL OFFICER THE ASSOCIATE CHIEF NURSING OFFICER AND SITE ADMINISTRATOR FOR LAWRENCE MEMORIAL HOSPITAL THE SYSTEM DIRECTOR OF PUBLIC AFFAIRS AND MARKETING THREE COMMUNITY REPRESENTATIVES THE DIRECTOR OF COMMUNITY SERVICES AND THE MANAGER OF COMMUNITY BENEFITS CONTINUES TO ACT AS THE STEERING COMMITTEE FOR HALLMARK HEALTHS COMMUNITY BENEFITS PLAN BY DEFINING THE PROCESS FOR RECOGNIZING THE CURRENT AND EMERGING HEALTH NEEDS IN THE COMMUNITY AND DEVELOPING THE COMMUNITY BENEFITS PLAN TO RESPOND TO THESE IDENTIFIED NEEDS THE COUNCIL MEETS QUARTERLY TO ENSURE COMPLIANCE WITH THE COMMUNITY BENEFIT PLAN PROVIDE INPUT TO THE IMPLEMENTATION OF THE PLAN DISCUSS IMPORTANT COMMUNITY HEALTH ISSUES AND OFFER INPUT TO THE GOVERNING BOARD REGARDING EMERGING COMMUNITY HEALTH NEEDSTHE COUNCIL PLANS TO ADD PHYSICIAN REPRESENTATIVES DURING FY2014 AS WELL AS CONTINUE TO RECRUIT ADDITIONAL COMMUNITY MEMBERS REPRESENTING DIVERSE CONSTITUENCIES ON AN ONGOING BASIS HALLMARK HEALTH ALSO ACTIVELY PARTICIPATED WITH THE COMMUNITY IN AN ONGOING WAY THROUGH OUR COMMUNITY OUTREACH TEAMS AS MEMBERS OF COMMUNITY COALITIONS AND IN THE COMMUNITY HEALTH NETWORK AREA PUBLIC HEALTH GROUPS CHNAS THESE METHODS HAVE PROVEN TO BE AN EFFECTIVE WAY TO REACH OUT INTO THE COMMUNITY TO GAIN LOCAL PERSPECTIVE AROUND THE HEALTH NEEDS OF AREA RESIDENTSBY TAILORING OUTREACH AND PROGRAMS BASED ON WHAT INDIVIDUAL COMMUNITIES VALUE MOST HALLMARK HEALTH HAS DEVELOPED A TRUSTING RELATIONSHIP WITH LOCAL RESIDENTSTHE TEAMS CONTINUOUSLY SOLICIT INPUT FROM KEY COMMUNITY LEADERS AS WELL INCLUDING SUPERINTENDENTS OF SCHOOLS STATE REPRESENTATIVES BUSINESS LEADERS FIRE AND POLICE PERSONNEL AND LOCAL HEALTH DEPARTMENTS THE COMMUNITY TEAM FUNCTIONS ARE FURTHER EXPLAINED IN PART II DESCRIPTION COMMUNITY BUILDING ACTIVITIES ANOTHER WAY THAT HALLMARK HEALTH COMMUNICATES WITH THE COMMUNITY IS THROUGH THE PATIENTFAMILY ADVISORY COUNCILPFACTHIS 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 PATIENTCENTERED SERVICES BY FOSTERING A STRONG PARTNERSHIP THROUGH OUTREACH ACTIVITIES WITH COMMUNITY RESIDENTS THE COUNCILS OFTEN ASSIST HALLMARK HEALTH STAFF BY PROVIDING INPUT INTO THE PLANNING OF FUTURE COMMUNITY ACTIVITIES AND INITIATIVESIN 2013 PFAC MEMBERS INPUT WAS SOLICITED ON THE FORMATTING OF HOME MEDICATION LISTS TO USE FOR MEDICATION RECONCILIATION TO PROVIDE FEEDBACK ON A DISCHARGE INSTRUCTION PACKET AND ON THE MULTIPLE RENOVATION PROJECTS AT BOTH HOSPITALS AS PART OF ITS EFFORTS TO IMPROVE THE HEALTH STATUS OF ITS CORE COMMUNITIES HALLMARK HEALTH SYSTEM PARTICIPATES IN A VARIETY OF BROADBASED COMMUNITY COALITIONS AND INITIATIVES THAT WORK TOWARDS ADDRESSING THE SPECIFIC AND GENERAL HEALTH NEEDS IN THESE CITIES AND TOWNS A SAMPLE OF CURRENT MEMBERSHIPS INCLUDE THE MALDEN HIGH SCHOOL TEEN PARENT TASK FORCE MYSTIC VALLEY ELDER SERVICES PROVIDER TASK FORCE LOCAL COUNCILS ON AGING THE HEALTHY FAMILIES COMMUNITY COALITION THE JOINT COMMITTEE FOR CHILDRENS HEALTH CARE IN EVERETT JCCHCE MEDFORD HEALTH MATTERS THE TRICAP HUNGER NETWORK THE CHINESE CULTURE CONNECTION THE NORTH SUBURBAN HEALTH ALLIANCE THE MELROSE SUBSTANCE ABUSE PREVENTION COALITION THE MALDENS PROMISE COALITION THE MASS IN MOTION MELROSEWAKEFIELD COALITION AND THE STONEHAM ALLIANCE AGAINST VIOLENCE ONE CENTRAL FOCUS OF HALLMARK HEALTHS COMMUNITY BENEFITS WORK IS TO CONTINUE TO FOSTER RELATIONSHIPS WITH A WIDER ARRAY OF COMMUNITY GROUPS AND LOCAL LEADERS INCLUDING FAITHBASED AND GRASSROOTS ORGANIZATIONS SUCH RELATIONSHIPS PROVIDE INSIGHT INTO HOW THESE GROUPS VIEW HALLMARK HEALTH SYSTEMS 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 AFTER CAREFUL REVIEW OF DATA AND COMMUNITY INPUT THE FOLLOWING TARGET POPULATIONS WERE PRIORITIZED TO RECEIVE SERVICES IN 2013 O THE COMMUNITY ATLARGE TO BE PREPARED FOR DISASTERS AND EMERGENCIES BOTH NATURAL AND MANMADE SUCH AS SEASONAL AND PANDEMIC FLU OR ACCIDENTS INVOLVING LARGE NUMBERS OF VICTIMS O LOCAL COMMUNITY GROUPS AND HEALTH CARE SYSTEMS COLLABORATING TO AVOID DUPLICATION OF EFFORTS AND PROVIDE SERVICES TO THOSE MOST IN NEED RESIDENTS ESPECIALLY FOCUSED ON UNINSURED OR UNDERINSURED RESIDENTS OF OUR CORE COMMUNITIES AND SPECIFICALLY THE TARGET POPULATIONS IDENTIFIED TO IMPROVE ACCESS TO CARE THIS INCLUDES THE RECRUITMENT EDUCATION AND TRAINING OF NURSES PHYSICIANS AND OTHER PRACTITIONERS NEEDED TO CARE FOR THE TARGET POPULATIONSIT ALSO INCLUDES RESEARCHAS APPROPRIATE TO ENHANCE ACCESS TO HEALTH CARE AND IMPROVE HEALTH SERVICES LOW TO MODERATE INCOME UNSERVED AND UNDERSERVED ELDERLY IN OUR COMMUNITIES ESPECIALLY THOSE LIVING IN THE COMMUNITIES OF EVERETT MALDEN MEDFORD MELROSE READING SAUGUS STONEHAM WAKEFIELD FAMILIES WITH CHILDRENADOLESCENTS AT RISK DUE TO POVERTY ISOLATION LANGUAGE OR CULTURAL BARRIERS DOMESTIC VIOLENCE LACK OF SKILLS TO NAVIGATE THE HEALTH CARE SYSTEMLACK OF EARLY PRENATAL CARE OR THOSE IN NEED OF DEVELOPING PARENTING SKILLSTHESE EFFORTS WILL FOCUS ESPECIALLY ON FAMILIES IN MALDEN MEDFORDMELROSE SAUGUS EVERETT NORTH READING READING STONEHAM WAKEFIELDWILMINGTON WINCHESTER BURLINGTON AND WOBURN O RESIDENTS OF ALL AGES AND THEIR FAMILIES COPING WITH A VARIETY OF BEHAVIOURAL HEALTH ISSUES O RESIDENTS AT RISK FOR DEVELOPING CARDIOVASCULAR DISEASE OR THOSE EXPERIENCING HEALTH ISSUES DUE TO UNDIAGNOSED OR POORLY UNDERSTOOD CARDIOVASCULAR RISKS INCLUDING THOSE AT RISK FOR DEVELOPING CONGESTIVE HEART FAILURE CHF AND FOR SUFFERING A STROKE O COMMUNITY MEMBERS AT RISK FOR DEVELOPING DIABETES O PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI MASSACHUSETTS HOSPITALS PROVIDE PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS THROUGH THE COMMONWEALTH OF MASSACHUSETTS OR THROUGH THE HOSPITALS OWN FINANCIAL ASSISTANCE PROGRAM AS OUTLINED IN THE CREDIT AND COLLECTION POLICYFOR THOSE PATIENTS THAT REQUEST SUCH ASSISTANCETHE HOSPITAL ASSISTS PATIENTS BY SCREENING THEM FOR ELIGIBILTY IN AVAILABLE PUBLIC PROGRAMS AND ASSISTING THEM IN APPLYING FOR THE PROGRAMSTHE SCREENING AND APPLICATION PROCESS IS DONE THROUGH EITHER THE VIRTUAL GATEWAY WHICH IS AN INTERNET PORTAL DESIGNED BY MASSACHUSETTS EXECUTIVE OFFICES OF HEALTH AND HUMAN SERVICES TO PROVIDE AN ONLINE APPLICATION FOR THE PROGRAMS OFFERED BY THE STATEOR THROUGH A STANDARD PAPER APPLICATIONALL VIRTUAL GATEWAY AND PAPER APPLICATIONS ARE REVIEWED AND PROCESSED BY THE MASSACHUSETTS OFFICE OF MEDICAID WHICH USES FEDERAL POVERTY GUIDELINES AS THE BASIS FOR DETERMINING ELIGIBILITY HOSPITALS HAVE NO ROLE IN DETERMINING ELIGIBILITY MADE BY THE STATE BUT AT THE PATIENTS REQUEST MAY TAKE A DIRECT ROLE IN APPEALING OR SEEKING INFORMATION RELATED TO THE COVERAGE DECISION COMMUNITY INFORMATION PART VI HALLMARK HEALTH IS A COMMUNITY HOSPITAL LOCATED APPROXIMATELY TEN10 MILES NORTH OF BOSTON MASSACHUSETTSIN THE GREATER BOSTON METROPOLITAN AREA THERE ARE A SIGNIFICANT NUMBER OF ACADEMIC MEDICAL CENTERS AND COMMUNITY HOSPITALS IN THE PRIMARY AND SECONDARY AREA COMMUNITIES OF HALLMARK HEALTH BASED ON DPH CRITERIA USING 2006 INPATIENT DATA AND ZIP CODE ANALYSIS THE PRIMARY SERVICE AREA INCLUDES MALDEN MEDFORD MELROSE SAUGUS AND WAKEFIELD AND THE SECONDARY SERVICE AREA INCLUDES EVERETT LYNNFIELD NORTH READING READING REVERE STONEHAM WILMINGTON AND WINTHROP FOR COMMUNITY PROGRAMS THE GEOGRAPHIC AREA SERVED INCLUDES ADDITIONAL COMMUNITIES AS EXAMPLE OF THIS IS THE NORTH SUBURBAN WOMEN INFANTS AND CHILDREN WIC PROGRAM WHICH SERVES THE TOWNS OF BURLINGTON WILMINGTON WINCHESTER AND WOBURN IN ADDITION TO EVERETT MALDEN MEDFORD MELROSE NORTH READING READING STONEHAM AND WAKEFIELD HALLMARK HEALTHS SERVICES AREA IS PRIMARILY WITHIN MIDDLESEX COUNTY IN THE CORE COMMUNITIES OF HALLMARK HEALTH WHICH INCLUDES EVERETT MALDEN MEDFORD MELROSE NORTH READING READING SAUGUS STONEHAM AND WAKEFIELD THREE OF THE COMMUNITIES EVERETT MALDEN AND MEDFORD HAVE PER CAPITA INCOME LEVELS BELOW THE STATE AVERAGE IN EVERETT THE POVERTY RATE IS AT 105 AND THE UNEMPLOYMENT RATE IS ALSO HIGHER THAN THE STATE AVERAGE MALDENS PER CAPITA INCOME IS 145 BELOW THE STATE AVERAGEYET THE POVERTY LEVEL AND UNEMPLOYMENT LEVEL ARE SIMILAR TO THE STATE AVERAGE INDICATING A HIGHER PERCENT OF THE POPULATION ARE THE WORKING POOR MEDFORDS PER CAPITA INCOME IS SLIGHTLY ABOVE THE STATE AVERAGE AND UNEMPLOYMENT IS SLIGHTLY BETTER THAN THE REST OF THE STATE NINETEEN PERCENT 19 OF THE COMMUNITY IS AT 200 OF POVERTY LEVEL OR BELOW IN ALL OF THE COMMUNITIES EXCEPT NORTH READING THE PERCENT OF RESIDENTS AGE 65 AND OLDER IS GREATER THAN THE STATE AVERAGE COMMUNITY DEMOGRAPHIC DATA THE DEMOGRAPHIC DIVERSITY AND LANGUAGE NEEDS OF THE POPULATIONS IN HALLMARK HEALTHS CORE COMMUNITIES IS DETERMINED FROM THE FOLLOWING SOURCES PROGRAM DATA FROM THE HALLMARK HEALTH INTERPRETER SERVICES PROGRAM HALLMARK HEALTHS 2011 INPATIENT DATA HALLMARK HEALTH NORTH SUBURBAN WOMEN INFANTS AND CHILDREN WIC NUTRITION PROGRAM AND HEALTHY FAMILIES MASS CHIP AND 2013 HHS NEEDS ASSESSMENT US CENSUS BUREAU REPORT SELECTED SOCIAL CHARACTERISTICS IN THE UNITED STATES 20062010 AMERICAN COMMUNITY SURVEY US CENSUS STATE AND COUNTY QUICKFACTS 2010 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH REPORT FIRST LANGUAGE IS NOT ENGLISH FLNE AND LIMITED ENGLISH PROFICIENCY LEP STUDENTS IN MASSACHUSETTS PUBLIC SCHOOLS 20052006 SCHOOL YEAR MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH REPORT REFUGEE AND IMMIGRANT HEALTH PROGRAM REFUGEE ARRIVALS BY COUNTRY OF ORIGIN 20062010 MASSACHUSETTS SCHOOL AND DISTRICT PROFILES 20082009 ENROLLMENT BY RACEGENDER REPORT ANECDOTAL INFORMATION WAS COLLECTED FROM SOME OF HALLMARK HEALTHS COMMUNITY PARTNERS SUCH AS THE JOINT COMMITTEE FOR CHILDRENS HEALTH CARE IN EVERETT AND HALLMARK HEALTH COMMUNITY TEAM REPRESENTATIVES RACIALETHNIC DIVERSITY THE CULTURES REPRESENTED IN THE AFOREMENTIONED POPULATION INCLUDE BUT ARE NOT LIMITED TO PATIENTS FROM PUERTO RICO THE DOMINICAN REPUBLIC COLOMBIA BRAZIL CAPE VERDE CHINA CAMBODIA VIETNAM HAITI TURKEY ITALY FRANCE ALBANIA GREECE INDIA THE WEST INDIES AFRICAN NATIONS SUCH AS CAMEROON AFRICAN AMERICANS EASTERN EUROPEANS MULTIETHNIC FAMILIES AND PATIENTS OF ALL CULTURES WHO ARE ALSO DEAF AND HARD OF HEARING THE DIVERSITY OF THE HALLMARK HEALTH COMMUNITIES IS ALSO VERY DIFFERENT BOTH EVERETT AND MALDEN HAVE POPULATIONS COMPRISED OF A HIGHER NUMBER OF BLACK RESIDENTS 121 IN EVERETT AND 146 IN MALDEN THAN THE REST OF THE STATE AND IN MALDENTHE PERCENTAGE OF ASIAN RESIDENTS IS 191 ALSO HIGHER THAN THE STATE AVERAGE IN EVERETT THE HISPANIC POPULATION IS HIGHER THAN THE STATE AVERAGE AT 177 IN MEDFORD THE PERCENT OF BLACK RESIDENTS IS 92 WHILE THE ASIAN POPULATION IS SLIGHTLY HIGHER THAN THE REST OF THE STATE THE COMMUNITIES OF MELROSE NORTH READING READING STONEHAM SAUGUS AND WAKEFIELD HAVE PRIMARILY WHITE POPULATIONS WITH SMALLER ASIAN HISPANIC AND BLACK POPULATIONS HALLMARK HEALTH DATA FOR 2013 DEMONSTRATES THAT OVERALL 904 OF THE POPULATION USING THE FACILITIES IN FISCAL YEAR 2013 WERE WHITE 11 HISPANIC 36 BLACK 29 ASIAN AND 20 REPORTED THEIR RACEETHNICITY AS UNKNOWN IN MIDDLESEX COUNTY IN 2010 POPULATION STATISTICS REPORT 822 OF THE POPULATION AS WHITE 65 HISPANIC 54 BLACK 1036 ASIAN05 NATIVE AMERICAN AND 15 AS UNKNOWN FOR RACEETHNICITY LANGUAGE BASED ON STATE DATA THE MOST COMMON LANGUAGES SPOKEN IN HALLMARK HEALTHS SERVICE AREA OTHER THAN ENGLISH ARE SPANISH PORTUGUESE CHINESE HAITIAN CREOLE AND VIETNAMESE OTHER LANGUAGES THAT ARE NOT AS COMMON BUT SPOKEN BY MEMBERS OF THE COMMUNITY ARE AMERICAN SIGN LANGUAGE ARABIC FRENCH ITALIAN KHMERCAMBODIAN KOREAN POLISH RUSSIAN AND TURKISH IN TOTAL RESIDENTS IN OUR SERVICE AREA SPEAK OVER 35 DIFFERENT LANGUAGES REVIEWING MASSACHUSETTS SCHOOL DATA FOR SCHOOL YEAR 20052006 IN EVERETT 423 OF STUDENTS IDENTIFIED AS FIRST LANGUAGE NOT ENGLISH FLNE EVERETT HAS THE 5TH LARGEST STUDENT POPULATION OF PORTUGUESE SPEAKERS IN THE STATE 282 OF THE STUDENT POPULATION AND 46 OF THE TOTAL STATE POPULATION IN MALDEN 343 OF STUDENTS WERE FLNE MALDEN HAS THE FOURTH LARGEST STUDENT POPULATION OF CHINESE SPEAKERS IN THE STATE 257 OF THE STUDENT POPULATION AND 61 OF THE TOTAL STATE STUDENT POPULATION THE FIFTH LARGEST STUDENT POPULATION OF VIETNAMESE SPEAKERS IN THE STATE 112 OF THE TOTAL STATE STUDENT POPULATION AND 42 OF THE TOTAL STATE STUDENT POPULATION AND THE 5TH LARGEST STUDENT POPULATION OF ARABIC SPEAKERS AT 39 OF THE STUDENT POPULATION AND 42 OF THE TOTAL STATE STUDENT POPULATION IN MEDFORD 16 OF THE STUDENTS WERE FLNE IN REVERE 395 OF STUDENTS WERE FLNE REVERE HAS THE 2ND HIGHEST STUDENT POPULATION OF ARABIC SPEAKERS 72 OF THE STUDENT POPULATION AND 83 OF THE TOTAL STATE STUDENT POPULATION AND THE 4TH HIGHEST STUDENT POPULATION OF KHMER SPEAKERS 111 OF THE STUDENT POPULATION AND 48 OF THE TOTAL STATE STUDENT POPULATION IN WOBURN 101 OF THE STUDENTS WERE FLNE THE INTERPRETER SERVICES DEPARTMENT ALSO NOTED AN OVERALL INCREASE IN INTERPRETER REQUESTS FROM 3271 REQUESTS IN 2012 TO 3441 REQUESTS IN 2013 A 52 INCREASE IN THE TOTAL NUMBER OF REQUESTS 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 SOME PER DIEM STAFF INTERPRETERS TO SUPPLEMENT THE INTERPRETER SERVICES CONTRACT IN ADDITION THE PROGRAM OFFERS LANGUAGE LINE TELEPHONE INTERPRETER SERVICES FOR RARELY ENCOUNTERED LANGUAGES WHEN THEY ARE UNABLE TO ACCESS TIMELY INTERPRETER SERVICES OR FOR EMERGENCIES HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI HALLMARK HEALTH HAS A 16 MEMBER COMMUNITY BOARD COMPRISED OF A MAJORITY OF COMMUNITY MEMBERS ONLY THREE 3 OF THE 16 BOARD MEMBERS ARE EMPLOYED BY HALLMARK HEALTH OR THE HOSPITALS PARENT CORPORATION HALLMARK HEALTH CORPORATION THE CHIEF EXECUTIVE OFFICER THE CHIEF MEDICAL OFFICER AND AN EMPLOYED PHYSICIAN MEMBER MEDICAL STAFF MEMBERSHIP AND PRIVILEGES ARE OPEN AND AVAILABLE TO ALL QUALIFIED PHYSICIANS WE HAVE A LARGE AND DIVERSE MEDICAL STAFF OF OVER 500 MEMBERS HALLMARK HEALTH OPERATES TWO VERY ACTIVE EMERGENCY ROOMS AT 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 WELL BEING IN 2013 HALLMARK HEALTH FINANCIAL COUNSELORS COMPLETED 1804 APPLICATIONS FOR INDIVIDUALS IN THE STATE HEALTH PROGRAMS SUCH AS MASS HEALTH PROGRAMS COMMONWEALTH CARE CHILDRENS 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 THESE NAVIGATORS ATTENDED MORE THAN TWENTY 20 COMMUNITY OUTREACH EVENTS TO ASSIST PARTICIPANTS AND PROVIDE ENROLLMENT INFORMATION OTHER SERVICES PROVIDED TO RESIDENTS INCLUDE ADVOCATING FOR RESIDENTS MAKING APPOINTMENTS AND PROCURING OTHER SERVICES SUCH AS PROVIDING INFORMATION ABOUT THE MOBILE FOOD MARKET BILLING AND COLLECTIONS PRACTICES ARE ALSO POSTED ON THE SYSTEM WEB SITE HALLMARK HEALTH ALSO PROVIDED MEETING SPACE INKIND AND SUBSIDIZED OR PROVIDED RENT AND UTILITIES INKIND FOR KEY COMMUNITY PARTNERS SUCH AS PORTAL TO HOPE WHICH PROVIDES DOMESTIC VIOLENCE PREVENTION AND SUPPORT SERVICES MEETING SPACE WAS ALSO OFFERED TO OTHER AGENCIES WHOSE MISSION IS ALIGNED WITH THE HALLMARK HEALTH SYSTEM COMMUNITY BENEFITS PLAN SUCH AS ALCOHOLICS ANONYMOUS GROUPS THE MELROSE SUBSTANCE ABUSE PREVENTION COALITION THE EVERETT COORDINATED FAMILY AND COMMUNITY ENROLLMENT GRANT OVEREATERS ANONYMOUS GROUPS AND THE NORTHEAST REGIONAL COMMUNITY HEALTH NETWORK AREA CHNA 16 AS EXAMPLES HALLMARK HEALTHS RESPONSIVENESS TO THE NEEDS OF OUR COMMUNITIES IS EVIDENCED BY OUR WILLINGNESS TO PROVIDE ANDOR PARTICIPATE IN A BROAD RANGE OF COMMITTEES COALITIONS PANELS ADVISORY GROUPS AND COMMISSIONS IN ORDER PROMOTE OUR MISSION OF IMPROVING HEALTH STATUS AND PROVIDING THE EFFICIENT DELIVERY OF HIGH QUALITY HEALTH CARE TO OUR COMMUNITIESSEE ALSO PART II COMMUNITY BUILDING ACTIVITIES AFFILIATED HEALTH CARE INFORMATION PART VI 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 SUBSTANTIAL HOME HEALTH VISITING NURSE AND HOSPICE ENTITY AND A PHYSICIAN PRACTICE ORGANIZATION A COMPREHENSIVE SYSTEM APPROACH IS TAKEN TO PROVIDING COMMUNITY BENEFITS ALL AFFILIATED ENTITIES PROVIDE PATIENT CARE WITHOUT CONSIDERATION OF A PATIENTS ABILITY TO PAY ALL SURPLUS FUNDS OF THE AFFILIATED ENTITIES ARE REINVESTED IN PROVIDING ACCESS TO HEALTH SERVICES AND IMPROVING THE HEALTH STATUS OF THE COMMUNITIES SERVED LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI MASSACHUSETTS ADDITIONAL INFORMATION PART VI QUESTION 6B IF YES DOES THE ORGANIZATION MAKE IT AVAILABLE TO THE PUBLIC THIS REPORT IS SUBMITTED TO THE MASSACHUSETTS ATTORNEY GENERALS OFFICE EACH YEAR AND POSTED ON THEIR WEBSITE THE ORGANIZATION ALSO POSTS THE ANNUAL COMMUNITY BENEFITS REPORT ON THE HOSPITALS WEBSITE HTTPWWWHALLMARKHEALTHCOMCOMMUNITYBENEFITSHTML HALLMARK HEALTH CURRENTLY DESIGNATES NINE WEB PAGES ON THE HOSPITALS WEBSITE TO DESCRIBING THE HOSPITALS TARGET POPULATIONS TO RECEIVE SERVICES THE COMMUNITY BENEFITS ADVISORY COUNCIL AND KEY PROGRAMS AND COMMUNITY PARTNERSHIPS THIS YEAR AN ADDITIONAL PAGE WILL BE ADDED TO INCLUDE COMMUNITY HEALTH NEEDS ASSESSMENT DATA IN ADDITION HALLMARK HEALTH FEATURES STORIES ABOUT COMMUNITY BENEFITS PROGRAMS EACH QUARTER IN THE HALLMARK HEALTH SYSTEM MAGAZINE THIS PUBLICATION REACHES MORE THAN 100000 HOUSEHOLDS IN OUR SERVICE AREA HALLMARK HEALTH ALSO PROMOTES COMMUNITY BENEFITS PROGRAMS THROUGH LOCAL PRESS RELEASES CALENDAR POSTINGS FACEBOOK AND TWITTER MESSAGING AND THROUGH LOCAL CABLE ACCESS STATIONS FLYERS ARE ALSO DISSEMINATED WIDELY IN THE COMMUNITY TO NOTIFY RESIDENTS OF UPCOMING COMMUNITY BENEFITS PROGRAMS AND SERVICES MELROSE WAKEFIELD HOSPITAL REPORTING GROUP A PART V LINE 3 PART V LINE 3 IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTCHNA COMPLETED IN AUGUST 2013 HALLMARK HEALTH SPECFICALLY TOOK INTO ACCOUNT INPUT FRON REPRESENTATIVES WITHIN THE COMMUNITIES SERVED BY ITS FACILITIES DURING THE CHNA RESEARCH PROCESS CONDUCTED IN COLLABORATION WITH THE INSTITUTE FOR COMMUNITY HEALTH INCSTAKEHOLDER INTERVIEWS WERE CONDUCTED WITH 18 KEY COMMUNITY LEADERS AND STAKEHOLDERS ACROSS THE CATCHMENT AREAINCLUDING STATE PUBLIC HEALTH OFFICIALS AND MEMBERS OF LOCAL BOARDS OF HEALTH AND PUBLIC HEALTH DIRECTORS ASKING ABOUT TOP HEALTH CONCERNSVULNERABLE POPULATIONS COMMUNITY ASSETS AND RESOURCESEXPERIENCES AND SUGGESTIONSBROADER COMMUNITYWIDE INPUT WAS ALSO SOLICITED THROUGH A FORMAL SURVEY CONDUTED BOTH ONLINE AND IN HARD COPY FORMATTHE SURVEY TOOL WAS AVAILABLE IN ENGLISH AND TRANSLATED INTO THE SIX MOST COMMON LANGUAGES WITHIN THE SERVICE AREATHE RESPONSE OF 387 CATCHMENT AREA RESIDENTS WERE ULTIMATELY COMPILED INCLUDING INFORMATION RELATED TO THEIR HEALTH CARE CONCERNS BEHAVIORS AND NEEDS AND INCORPORATRD INTO THE CHNA MELROSE WAKEFIELD HOSPITAL REPORTING GROUP A PART V LINE 20D PART V LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE LAWRENCE MEMORIAL HOSPITAL REPORTING GROUP A PART V LINE 3 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 LAWRENCE MEMORIAL HOSPITAL REPORTING GROUP A PART V LINE 20D PART V LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE HALLMARK ONCOLOGY HEMATOLOGY CTR REPORTING GROUP A PART V LINE 3 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 HALLMARK ONCOLOGY HEMATOLOGY CTR REPORTING GROUP A PART V LINE 20D PART V LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE CHEM CENTER FOR RADIATION MRI REPORTING GROUP A PART V LINE 3 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 CHEM CENTER FOR RADIATION MRI REPORTING GROUP A PART V LINE 20D PART V LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE LAWRENCE MEMORIAL HOSPITAL MEDICAL REPORTING GROUP A PART V LINE 3 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 LAWRENCE MEMORIAL HOSPITAL MEDICAL REPORTING GROUP A PART V LINE 20D PART V LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE HALLMARK OUTPAT DIAGNOSTIC REHAB REPORTING GROUP A PART V LINE 3 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 HALLMARK OUTPAT DIAGNOSTIC REHAB REPORTING GROUP A PART V LINE 20D PART V LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE HEALTH IMAGE WOMANS IMAGING CENTER REPORTING GROUP A PART V LINE 3 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 HEALTH IMAGE WOMANS IMAGING CENTER REPORTING GROUP A PART V LINE 20D PART V LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE LMH REHABILITATION SERVICES REPORTING GROUP A PART V LINE 3 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 LMH REHABILITATION SERVICES REPORTING GROUP A PART V LINE 20D PART V LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE MELROSEWAKEFIELD HOSP REHAB SERV REPORTING GROUP A PART V LINE 3 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 MELROSEWAKEFIELD HOSP REHAB SERV REPORTING GROUP A PART V LINE 20D PART V LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE FAMILY MEDICAL ASSOCIATES REPORTING GROUP A PART V LINE 3 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 FAMILY MEDICAL ASSOCIATES REPORTING GROUP A PART V LINE 20D PART V LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE LAWRENCE MEMORIAL HOSPITAL PROGRAM REPORTING GROUP A PART V LINE 3 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 LAWRENCE MEMORIAL HOSPITAL PROGRAM REPORTING GROUP A PART V LINE 20D PART V LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE HALLMARK COMMUNITY COUNSELING REPORTING GROUP A PART V LINE 3 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 HALLMARK COMMUNITY COUNSELING REPORTING GROUP A PART V LINE 20D PART V LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE COMMUNITY COUNSELING CENTER REPORTING GROUP A PART V LINE 3 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 COMMUNITY COUNSELING CENTER REPORTING GROUP A PART V LINE 20D PART V LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE true false false false false false false false false MVSACK 658377 345439 94089 7500 85479 1190884 WJ DOHERTY MD 357853 45653 7339 2209 413054 EPBUTLER MD 266625 51988 6736 55406 328767 51988 J NANIA 492467 49531 12000 7500 25923 587421 C WHIPPLE 239389 31380 6585 20357 297711 TGIOVE 365644 9548 32878 6295 10119 424484 S HAND 365632 10079 22529 7500 22916 428656 K HOPPE 263757 50800 10498 6411 28038 359504 M TURILLI 252575 38280 20006 7500 25938 344299 C DRESSER 194396 9475 15384 3937 17594 240786 D RICHARDSON 210496 100 6578 32849 250023 M MCCARTHY 174645 10753 7012 5108 26774 224292 M PIEROG 169448 20325 2925 19673 212371 J PENNACCHIO MD 453832 100 5152 20213 479297 R EISENBERG MD 398090 100 7500 28962 434652 L MCCADDEN 310310 3072 33860 3430 31620 382292 RJ WELCH MD 237955 19100 6381 36462 299898 S SCHURGIN MD 181528 32229 4660 510 218927 A MACDONALD 33196 33196 RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 3 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. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 T.GIOVE 196,697 0 0 S. HAND 207,617 0 0 L. MCCADDEN 159,159 0 0 A MDFA COMM OF MASS 043431814 NONE00000 2011-12-09 10000000 FINANCE CAPITAL false false false B MDFA COMM OF MASS 043431814 NONE00000 2013-03-01 49606243 REFUND 2011 A&B SERIES WHICH REFINDED 1998 SEIES A false false false C MDFA MHEFA ( COMM OF MASS ) 043431814 NONE00000 2013-03-01 19800000 RATE 2008 SERIES C WHICH REFUNDED 1998 SERIES B. false false false D MDFA COMM OF MASS 043431814 NONE00000 2013-03-01 20000000 FINANCE CAPITAL false false false A 918727 10000000 250528 2012 false false true true B 49606243 500695 2001 true false true true C 995000 19800000 2001 false false true true D 20000000 98939 2014 false false true true A false false false false true false false false B false false false false true false false false C false false false false true false false false D false false false false true false false false A false true false false true false false false false B false true false false false false false false false C false true false false false false false false false D false true false false false false false false false A false MV SACK ARMS LENGTH NEGOTIATED BENEFIT X 132500 5476000 false true true J NANIA ARMS LENGTH NEGOTIATED BENEFIT X 115296 1246844 false true true 6722844 DOING BUSINESS AS FORM 990, PAGE 1, ITEM C MEDFORD MELROSE-WAKEFIELD HOSPITAL MATERIAL DIFFERENCES IN VOTING RIGHTS EXPLANATION FORM 990, PAGE 6, PART VI THE CFO / ASST. TREASURER, ASST.CLERKS AND ASST. SECRETARY OF THE GOVERNING BODY DO NOT HAVE VOTES ON BOARD. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 HALLMARK HEALTH SYSTEM, INC. HAS APPROXIMATELY 155 COMMUNITY MEMBERS. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A MEMBERS ELECT BOARD OF TRUSTEES DECISIONS SUBJECT TO APPROVAL OF MEMBERS 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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. ENFORCEMENT OF CONFLICTS POLICY 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. COMPENSATION PROCESS FOR TOP OFFICIAL 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. COMPENSATION PROCESS FOR OFFICERS 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. NO PUBLIC DISCLOSURE EXPLANATION 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. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 9 UNREALIZED GAIN INVESTMENTS(NET CUMULATIVE EFFECT) 6,746,568 UNREALIZED GAIN-BENEFICIAL INTERESTS PERPETUAL TR. 403,041 PENSION LIABILITY ADJUSTMENT 5,719,304 NET ASSETS RELEASED FROM RESTRICTIONS-OPERATIONS -649,156 NET DISTRIBUTIONS TO AFFILIATES -5,902,289 HOSPITAL AUXILIARY, NET CHANGE -1,297 -------- 6,316,171 ========== HALLMARK HEALTH SYS MWH AUXILIARY 170 GOVERNORS AVENUE MEDFORD MA 02155 042767880 GIFT SHOP MA 123465 22114 HHS HALLMARK HEALTH SYSTEM INC HALLMARK HEALTH CORPORATION (HHC) 170 GOVERNORS AVE MEDFORD MA 02155 042103587 PARENT MA 501C3 11C NA N/A false HALLMARK HEALTH VISITING NURSE & HOSPICE INC 170 GOVERNORS AVE MEDFORD MA 02155 042437064 VISIT NURS MA 501C3 9 HHC HALLMARK HEALTH CORPORATION false 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 true 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 HHS HALLMARK HEALTH SYSTEM INC RELATED 153675 64632 false false 0.50000 HALLMARK HEALTH ENTERPRISES INC 585 LEBANON STREET MELROSE MA 02176 452475660 OTHER HLTH MA N/A false false true false false false false false false false true true true true false false false false false true HALLMARK HEALTH CORPORATION B 1868617 FAIR MARKET VALUE HALLMARK HEALTH MEDICAL ASSOC INC B 3502597 FAIR MARKET VALUE HALLMARK HEALTH PROPERTIES B 531075 FAIR MARKET VALUE HALLMARK HEALTH VISTING NURSE & HOSPICE INC J 164568 FAIR MARKET VALUE HALLMARK HEALTH MEDICAL ASSOC INC J 462008 FAIR MARKET VALUE HALLMARK HEALTH PROPERTIES INC K 203663 FAIR MARKET VALUE HALLMARK HEALTH CORPORATION K 1267694 FAIR MARKRT VALUE HALLMARK HEALTH MEDICAL ASSOC INC L 862236 ACTUAL COST HALLMARK HEALTH VISTING NURSE & HOSPICE INC L 49200 COST TIME ALLOCATION HALLMARK HEALTH CORPORATION M 3297397 COST TIME ALLOCATION FRIENDS OF LAWRENCE MEM HOSPITAL M 123291 ACTUAL COST HALLMARK HEALTH CORPORATION B 1868617 FAIR MARKET VALUE HALLMARK HEALTH MEDICAL ASSOC INC B 3502597 FAIR MARKET VALUE HALLMARK HEALTH PROPERTIES B 531075 FAIR MARKET VALUE HALLMARK HEALTH VISTING NURSE & HOSPICE INC J 164568 FAIR MARKET VALUE HALLMARK HEALTH MEDICAL ASSOC INC J 462008 FAIR MARKET VALUE HALLMARK HEALTH PROPERTIES INC K 203663 FAIR MARKET VALUE HALLMARK HEALTH CORPORATION K 1267694 FAIR MARKRT VALUE HALLMARK HEALTH MEDICAL ASSOC INC L 862236 ACTUAL COST HALLMARK HEALTH VISTING NURSE & HOSPICE INC L 49200 COST TIME ALLOCATION HALLMARK HEALTH CORPORATION M 3297397 COST TIME ALLOCATION FRIENDS OF LAWRENCE MEM HOSPITAL M 123291 ACTUAL COST