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RELATED ORGANIZATION INFORMATION PART I LINE 6A NA SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G NA EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F BAD DEBT EXPENSE 8329252 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 COMMUNITY PARTNERSHIP AND LEAD PREVENTION COMMITTEE MYSTIC VALLEY ELDER SERVICES PROVIDER TASK FORCE LOCAL COUNCILS ON AGING HEALTHY FAMILIES COMMUNITY COALITION MEDFORD FAMILY RESOURCE COALITION THE MELROSE SUBSTANCE ABUSE PREVENTION COALITION AND THE MALDENEVERETT AND MEDFORD FAMILY NETWORKS A SPECIFIC EXAMPLE OF THIS COMMUNITY BUILDING IS HALLMARK HEALTHS LEADERSHIP OF THE MELROSE ALLIANCE AGAINST VIOLENCE MAAV THE MELROSE ALLIANCE AGAINST VIOLENCE MAAV IS A NONPROFIT COMMUNITYBASED 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 INCLUDES REPRESENTATIVES FROM THE POLICE SCHOOLS CLERGY HOSPITAL BUSINESS COMMUNITY HEALTH DEPARTMENT STUDENTS AND COMMUNITY MEMBERS AT LARGE HALLMARK HEALTH IS PARTNERING WITH MAAV ON SAFE SPACE A PROGRAM DESIGNED TO SUPPORT DOMESTIC VIOLENCE VICTIMS WITH RESOURCES AND PLACEMENTS 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 RECREATION SPORTING EVENTS TO FORMAL COMMUNITY HEALTH FAIRSTHEREBY PROMOTING MULTIPLE OPPORTUNITIES TO INTERACT WITH A WIDE RANGE OF COMMUNITY MEMBERS IN WAYS THAT BUILD A TRUSTING RELATIONSHIP KEY TO TRULY LISTENING TO THE VOICE OF INDIVIDUAL COMMUNITY MEMBERSAS 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 ACTIVITIES RELEVANT 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 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 100 EMPLOYEES VOLUNTEERS AND PHYSICIANS WERE INVOLVED IN A TEAM OR A TEAMSPONSORED EVENT IN 2012 TEAM MEMBERS LOGGED MORE THAN 1700 HOURS TOWARD TEAM EVENTS AND AS ACTIVE MEMBERS IN OVER 20 CIVIC GROUPS IN THE REGION 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 2012 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 2012 AND 2011THE CORPORATION ESTIMATED THAT THE COST ASSOCIATED WITH THE THE CHARITY CARE PROVIDED WAS APPROXIMATELY 2447000 AND 2107000 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 8644780 AND 8760600 IN 2012 AND 2011 RESPECTIVELY REPRESENTS THE CHARGES FOR SERVICES PROVIDED THAT ARE DEEMED TO BE UNCOLLECTIBLE THE ESTIMATED COST OF PROVIDING THESE SERVICES WAS APPROXIMATELY 3502000 FOR 2012 AND 3549000 FOR 2011 HEALTH SAFETY NET FORMERLY THE UNCOMPENSATED CARE FUND 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 302012 AND 2011 THE CORPRATIONS SHARE OF THE TOTAL COMMONWEALTHS ASSESSMENT WAS 1954767 FOR 2012 AND 2188911 FOR 2011 DURING 2012 AND 2011 THE CORPORATION RECEIVED REIMBURSEMENT FROM THE HSN IN THE AMOUNTS OF 1110124 AND 1950949 RESPECTIVELY TOTAL UNCOMPENSATED CARE PROVIDED BY ALL RELATED CORPORATIONS FOR THE YEARS ENDED SEPTEMBER 30 2012 AND 2011 IS AS FOLLOWS 2012 2011 PROVISION FOR CHARITY CAREAT COST 2446782 2107429 PROVISION FOR BAD DEBTSAT COST 3502000 3548919 HSN NET 844643 237962 TOTAL UNCOMPENSATED CARE 6793425 5894310 TOTAL HALLMARK HEALTH SYSTEMINC UNCOMPENSATED CARE FOR FYE 2012 2011 IS AS FOLLOWS 2012 2011 PROVISION FOR CHARITY CAREAT COST 2428767 2086931 PROVISION FOR BAD DEBTSAT COST 3374180 3361225 HSN NET 844643 237962 TOTAL UNCOMPENSATED CARE 6647590 5686118 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 SURPLUS 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 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 LINE 2 NEEDS ASSESSMENT DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES AT THE START OF HALLMARK HEALTHS 2012 FISCAL YEAR THE GOVERNING BOARD OF THE HOSPITAL APPROVED THE 2012 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 ACTIVITIES IN THE LAST QUARTER OF 2012 AND INTO 2013 HALLMARK HEALTH SYSTEM BEGAN WORKING WITH THE INSTITUTE FOR COMMUNITY HEALTH ICH TO DEVELOP A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT THIS 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 WILL BE COMPLETED IN THE SPRING OF 2013 TO ENSURE COMMUNITY INPUT AND TRANSPARENCY THE COMPLETED RESULTS WILL BE POSTED ON THE HALLMARK HEALTH SYSTEM WEBSITE 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 TWO COMMUNITY REPRESENTATIVES AND THE DIRECTOR OF COMMUNITY SERVICES 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 NEEDS 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 2012 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 2012 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 OR WITH DIABETES MANAGEMENT ISSUES THIS INCLUDES IDENTIFICATION AND TREATMENT OF GESTATIONAL DIABETES O COMMUNITY MEMBERS AT RISK FOR DEVELOPING CANCER OR BEING TREATED FOR CANCER WITH A FOCUS ON LUNG CANCER COLORECTAL CANCER ORAL HEAD AND NECK CANCER BREAST CANCER AND SKIN CANCER O MEN AND WOMEN AT RISK FOR DEVELOPING BONE AND JOINT INJURIES OR DISEASE WITH A FOCUS 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 BENEFITS THE GEOGRAPHIC AREA SERVED INCLUDES ADDITIONAL COMMUNITIES AN 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 118 AND THE UNEMPLOYMENT RATE IS ALSO HIGHER THAN THE STATE AVERAGE MALDENS PER CAPITA INCOME IS 15 BELOW THE STATE AVERAGE YET 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 BELOW 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 US CENSUS BUREAU REPORT SELECTED SOCIAL CHARACTERISTICS IN THE UNITED STATES 20052007 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 HEALTHY MALDEN INC 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 79 IN EVERETT AND 101 IN MALDEN THAN THE REST OF THE STATE AND IN MALDEN THE PERCENTAGE OF ASIAN RESIDENTS IS 19 ALSO HIGHER THAN THE STATE AVERAGE IN EVERETT THE HISPANIC POPULATION IS HIGHER THAN THE STATE AVERAGE AT 11 IN MEDFORD THE PERCENT OF BLACK RESIDENTS IS TWO PERCENT HIGHER THAN OTHER COMMUNITIES 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 2012 DEMONSTRATES THAT OVERALL 904 OF THE POPULATION USING THE FACILITIES IN FISCAL YEAR 2012 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 ASIAN 05 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 STUDENT 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 2489 REQUESTS IN 2011 TO 3271 REQUESTS IN 2012 A 31 INCREASE IN THE TOTAL NUMBER OF REQUESTS HALLMARK HEALTH CONTRACTS WITH A SERVICE PROVIDER FOR A VARIETY OF LANGUAGE INTERPRETERS AND ALSO 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 2012 HALLMARK HEALTH FINANCIAL COUNSELORS COMPLETED 2251 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 ENGAGEMENT 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 LINE NUMBER 1 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE LAWRENCE MEMORIAL HOSPITAL LINE NUMBER 2 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE HALLMARK ONCOLOGY HEMATOLOGY CTR LINE NUMBER 3 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE CHEM CENTER FOR RADIATION MRI LINE NUMBER 4 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE LAWRENCE MEMORIAL HOSPITAL MEDICAL LINE NUMBER 5 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE HALLMARK OUTPAT DIAGNOSTIC REHAB LINE NUMBER 6 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE HEALTH IMAGE WOMANS IMAGING CENTER LINE NUMBER 7 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE LMH REHABILITATION SERVICES LINE NUMBER 8 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE MELROSEWAKEFIELD HOSP REHAB SERV LINE NUMBER 9 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE FAMILY MEDICAL ASSOCIATES LINE NUMBER 10 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE LAWRENCE MEMORIAL HOSPITAL PROGRAM LINE NUMBER 11 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE HALLMARK COMMUNITY COUNSELING LINE NUMBER 12 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE COMMUNITY COUNSELING CENTER LINE NUMBER 13 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE SENIOR CITZEN HEALTH CENTER LINE NUMBER 14 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE X X X X X false false false false false false false false false MVSACK 611862 211750 251138 7350 77910 1160010 WJ DOHERTY MD 346979 28525 1008 2264 378776 EPBUTLER MD 251830 88794 7350 58735 406709 J NANIA 365260 72793 60662 7350 79906 585971 K HOPPE 259162 69000 6199 3470 337831 M TURILLI 231745 7657 14525 7350 25472 286749 D RICHARDSON 194189 3901 6204 32176 236470 S HAND 193577 3864 6143 22498 226082 TGIOVE 188366 3665 5820 9595 207446 C DRESSER 182546 3600 3855 17411 207412 M MCCARTHY 169534 8447 6809 4977 25633 215400 M PIEROG 156351 3004 2097 18626 180078 J PENNACCHIO MD 460581 100 5005 19896 485582 R EISENBERG MD 378890 6736 7350 27400 420376 RJ WELCH MD 242724 100 6213 33399 282436 GA RAGHEB MD 208060 100 6154 6314 25041 245669 M MCMASTERS 175448 37201 5079 510 218238 MDFA MHEFA ( COMM OF MASS ) 043431814 2011-12-09 20755000 REFUND SERIES B 1998. false false false MDFA COMM OF MASS 043431814 2011-12-09 19963116 false false false MDFA COMM OF MASS 043431814 2011-12-09 30999965 false false false MDFA COMM OF MASS 043431814 2011-12-09 10000000 false false false 955000 19800000 2001 true false true true 596259 19366857 162579 2001 true false true true 943592 30056373 262465 2001 true false true true 357979 9642021 250528 2012 false false true true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false MV SACK ARMS LENGTH NEGOTIATED BENEFIT X 132500 4723000 false true true J NANIA ARMS LENGTH NEGOTIATED BENEFIT X 115296 1132486 false true true 5855486 DOING BUSINESS AS FORM 990, PAGE 1, ITEM C MEDFORD MELROSE-WAKEFIELD HOSPITAL EXPLANATION FOR WHY FORM 990-T NOT FILED FORM 990, PAGE 5, PART V, LINE 3B FORM 990-T FILED FOR TAX 2011 WITH ZERO UNRELATED BUSINESS INCOME. MATERIAL DIFFERENCES IN VOTING RIGHTS EXPLANATION FORM 990, PAGE 6, PART VI THE CFO / ASST. TREASURER AND ASST. SECRETARY OF THE GOVERNING BODY DO NOT HAVE VOTES ON BOARD. SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PAGE 6, PART VI, LINE 4 HALLMARK HEALTH SERVICES, INC. MERGED INTO HALLMARK HEALTH SYSTEM, INC. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 HALLMARK HEALTH SYSTEM, INC. HAS APPROXIMATELY 180 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 AT 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 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. 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. RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII AVERAGE HOURS OF 37.50 PER WEEK FOR M. SACK AND J. NANIA ARE ALLOCATED BETWEEN THIS CORPORATION AND RELATED ORGANIZATIONS. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 NET ASSETS RELEASED FROM RESTRICTIONS-OPERATIONS (734,949) NET DISTRIBUTIONS TO AFFILIATES (9,907,926) UNREALIZED GAIN / LOSS INVESTMENTS 14,101,750 UNREALIZED GAIN / LOSS--BENEFICIAL INTERESTS PERPETUAL TR. 1,200,210 ADDITIONAL MINIMUM PENSION LIABILITY ADJUSTMENT (275,350) HOSPITAL AUXILIARY, NET CHANGE 8,957 MERGER INTO AND TRANSFER TO HALLMARK HEALTH SYSTEM, INC. (936,883) (170(B)(1)(A)(III)) --------- 3,455,809 ========= REASON FOR NOT UNDERGOING REQUIRED AUDIT FORM 990, PAGE 12, PART XII, LINE 3B FINANCIAL STATEMENTS ARE COMPLED,REVIEWED AND AUDITED ON A CONSOLIDATED BASIS. HOWEVER THE SCHOOL OF NURSING PERFORMS REQUIRED AUDIT AS NECESSARY FOR FEDERAL AWARDS. HALLMARK HEALTH SYS MWH AUXILIARY 170 GOVERNORS AVENUE MEDFORD MA 02155 042767880 GIFT SHOP MA 129815 23413 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 HALLMARK HEALTH SERVICES INC 170 GOVERNORS AVE MEDFORD MA 02155 222602523 HEALTHCARE MA 501C3 9 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 0.86200 MONTVALE PETCT LLC 100 BAYVIEW CIRCLE SUITE 400 NEWPORT BEACH CA 92660 270325022 CAT SCAN CA HHS HALLMARK HEALTH SYSTEM INC RELATED 126267 80926 false false 0.50000 HALLMARK HEALTH ENTERPRISES INC 585 LEBANON STREET MELROSE MA 02176 452475660 COSMETIC MA N/A false true false false false false false false true true true true false false false false false true HALLMARK HEALTH CORPORATION B 1700411 HALLMARK HEALTH MEDICAL ASSOC INC B 7478357 HALLMARK HEALTH PROPERTIES B 305161 HALLMARK HEALTH ENTERPRISES INC B 423997 HALLMARK HEALTH VISTING NURSE & HOSPICE INC I 164568 HALLMARK HEALTH MEDICAL ASSOC INC I 496965 HALLMARK HEALTH PROPERTIES INC J 112785 HALLMARK HEALTH CORPORATION J 1292336 HALLMARK HEALTH MEDICAL ASSOC INC K 10150 HALLMARK HEALTH MEDICAL ASSOC INC K 845037 HALLMARK HEALTH VISTING NURSE & HOSPICE INC K 64519 HALLMARK HEALTH SERVICES INC L 62907 HALLMARK HEALTH CORPORATION L 3710502 HALLMARK HEALTH ENTERPRISES INC L 266900 HALLMARK HEALTH SERVICES INC R 936883 FRIENDS OF LAWRENCE MEM HOSPITAL K 121162 HALLMARK HEALTH CORPORATION B 1700411 HALLMARK HEALTH MEDICAL ASSOC INC B 7478357 HALLMARK HEALTH PROPERTIES B 305161 HALLMARK HEALTH ENTERPRISES INC B 423997 HALLMARK HEALTH VISTING NURSE & HOSPICE INC I 164568 HALLMARK HEALTH MEDICAL ASSOC INC I 496965 HALLMARK HEALTH PROPERTIES INC J 112785 HALLMARK HEALTH CORPORATION J 1292336 HALLMARK HEALTH MEDICAL ASSOC INC K 10150 HALLMARK HEALTH MEDICAL ASSOC INC K 845037 HALLMARK HEALTH VISTING NURSE & HOSPICE INC K 64519 HALLMARK HEALTH SERVICES INC L 62907 HALLMARK HEALTH CORPORATION L 3710502 HALLMARK HEALTH ENTERPRISES INC L 266900 HALLMARK HEALTH SERVICES INC R 936883 FRIENDS OF LAWRENCE MEM HOSPITAL K 121162 HALLMARK HEALTH CORPORATION B 1700411 HALLMARK HEALTH MEDICAL ASSOC INC B 7478357 HALLMARK HEALTH PROPERTIES B 305161 HALLMARK HEALTH ENTERPRISES INC B 423997 HALLMARK HEALTH VISTING NURSE & HOSPICE INC I 164568 HALLMARK HEALTH MEDICAL ASSOC INC I 496965 HALLMARK HEALTH PROPERTIES INC J 112785 HALLMARK HEALTH CORPORATION J 1292336 HALLMARK HEALTH MEDICAL ASSOC INC K 10150 HALLMARK HEALTH MEDICAL ASSOC INC K 845037 HALLMARK HEALTH VISTING NURSE & HOSPICE INC K 64519 HALLMARK HEALTH SERVICES INC L 62907 HALLMARK HEALTH CORPORATION L 3710502 HALLMARK HEALTH ENTERPRISES INC L 266900 HALLMARK HEALTH SERVICES INC R 936883 FRIENDS OF LAWRENCE MEM HOSPITAL K 121162