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HALLMARK HEALTH VISITING NURSE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HALLMARK HEALTH VISITING NURSE (EIN 04-2437064)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201102279349303870
Schema version
2009v1.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-15T16:24:17-00:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042437064EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hallmark Health Visiting Nurse Association & Hospice IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHALLNameControl
Phone7813387800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1178 Savin Street Room No 300AddressLine1
CityMaldenCity
StateMAState
ZIP Code021482316ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDiane Farraher-SmithName
TitlePresidentTitle
Phone7813387781Phone
Date Signed2011-08-15DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDiane Farraher-Smith PresidentNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1178 Savin StreetAddressLine1
CityMaldenCity
StateMAState
ZIP Code021482316ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20581878GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.hallmarkhealthhomecare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1905YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTo provide nursing, rehabilitation, home health aide, medical social work, homemaker and end of life care in a home environment.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees184TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year108788ContributionsGrantsPriorYear
Contributions Grants Current Year87017ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14971724ProgramServiceRevenuePriorYear
Program Service Revenue CY17444274ProgramServiceRevenueCY
Investment Income Prior Year342915InvestmentIncomePriorYear
Investment Income Current Year526530InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year15423427TotalRevenuePriorYear
Total Revenue Current Year18057821TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9517655SalariesEtcPriorYear
Salaries Etc Current Year10105400SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3602732OtherExpensePriorYear
Other Expenses Current Year4659349OtherExpensesCurrentYear
Total Expenses Prior Year13120387TotalExpensesPriorYear
Total Expenses Current Year14764749TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2303040RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3293072RevenuesLessExpensesCY
Total Assets BOY17088915TotalAssetsBOY
Total Assets EOY21618060TotalAssetsEOY
Total Liabilities BOY2652487TotalLiabilitiesBOY
Total Liabilities EOY3221860TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14436428NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18396200NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide nursing, rehabilitation, home health aide, social work, homemaker services and end of life care in a home environment.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13119479Expense
DescriptionProvided nursing, rehabilitation, home health aide, social worker, homemaker and end of life care in a home environment for approximately 3,300 patients.Description
Total Program Service Expense13119479TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109665NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees184NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDiane Farraher-Smith PresidentNamePerson
Telephone Number7813387800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1178 Savin Street Suite 300AddressLine1
CityMaldenCity
StateMAState
ZIP Code021482316ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Diane Farraher-Smith
President001.00XX020868730474
James Nania
Treasurer001.00XX037580783867X
Eda U George RN PhD
Chairman001.00X000
Maria Luise
Director001.00X000
Charles R Whipple Esq
Director001.00X022441427707
EM Casey
Director001.00X000
Claire Croken
Director001.00X000
James Kaloyanides
Director001.00XX000
Esther Osborne
Director001.00X000
F Sylena Keeping
Associate Director037.5010099301293X
Gayle Gallo
Physical Therapist037.50114059017748X
Michelle Shattuck
Nurse037.50105887017748X
Maryann Erkkila
Physical Therapist037.5010098807458X
FieldValueIRS element (for citing)
Total Reportable Comp From Org421927TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs808908TotalReportableCompFrmRltdOrgs
Total Other Compensation186295TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Community Health Network
747 Washington StHollistonMA01746Nursing Contract369680
Core Medical Group
2 Keewaydin DrSalemNH03079Nsg Rehab Contract288592
Hallmark Health Corp
170 Governors AveMedfordMA02155Management Services202888
SHS Services
P O Box 27124Salt Lake CityUT84127Nursing Contract164152
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions87017AllOtherContributions
Total Contributions87017TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionProgram Service RevenueDescription
Business Code446199BusinessCode
Total Revenue Column17444274TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue17444274TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column453801TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2596786Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2524057Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities72729Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column72729TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18057821TotalRevenueColumn

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8236439Total
Program Services7325205ProgramServices
Management And General911234ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total59698Total
Program Services50791ProgramServices
Management And General8906ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1221481Total
Program Services1062547ProgramServices
Management And General158934ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total587782Total
Program Services520950ProgramServices
Management And General66832ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total202888Total
Management And General202888ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17550Total
Management And General17550ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2638266Total
Program Services2613786ProgramServices
Management And General24480ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total17362Total
Program Services1047ProgramServices
Management And General16315ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total877181Total
Program Services794757ProgramServices
Management And General82424ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total616Total
Program Services616ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total166162Total
Program Services166162ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total200903Total
Program Services196462ProgramServices
Management And General4441ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total26435Total
Program Services11777ProgramServices
Management And General14658ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2190Total
Management And General2190ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total174810Total
Program Services174810ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total107808Total
Management And General107808ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt Expense6788467884
Recruitment3178631786
Storage Fees1156811568
Community Relations1164717479900

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total104293Total
Program Services87584ProgramServices
Management And General16709ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14764749Total
Program Services13119479ProgramServices
Management And General1645269ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3352701BOY
EOY1841452EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1914141BOY
EOY2302345EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY160BOY
EOY24167EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1552267LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1294283LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY365929BOY
EOY257984EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11278881BOY
EOY17076165EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY177103BOY
EOY115947EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17088915BOY
EOY21618060EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2561255BOY
EOY3115195EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY91232BOY
EOY106665EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2652487BOY
EOY3221860EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14259325BOY
EOY18280252EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY151054BOY
EOY89899EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY26049BOY
EOY26049EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14436428BOY
EOY18396200EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17088915BOY
EOY21618060EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56104CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years227739CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years190496CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year108788CurrentTaxYearMinus1Year
Current Tax Year87017CurrentTaxYear
Total670144Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10667291CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15485775CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14710482CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15028790CurrentTaxYearMinus1Year
Current Tax Year17438849CurrentTaxYear
Total73331187Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10723395CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15713514CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14900978CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15137578CurrentTaxYearMinus1Year
Current Tax Year17525866CurrentTaxYear
Total74001331Total
FieldValueIRS element (for citing)
Public Support Total50974001331PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years293711CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years510410CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years95848CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year294158CurrentTaxYearMinus1Year
Current Tax Year531955CurrentTaxYear
Total1726082Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years293711CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years510410CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years95848CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year294158CurrentTaxYearMinus1Year
Current Tax Year531955CurrentTaxYear
Total1726082Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11017106CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16223924CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14996826CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15431736CurrentTaxYearMinus1Year
Current Tax Year18057821CurrentTaxYear
Total75727413Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97720PublicSupportPercentage509
Prior Year Support Percentage0.97920PriorYearSupportPercentage
Investment Income Percentage0.02280InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02080PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance177103BeginningOfYearBalance
Contributions2449Contributions
Other Expenditures63605OtherExpenditures
End Of Year Balance115947EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance187600BeginningOfYearBalance
Contributions20541Contributions
Other Expenditures31038OtherExpenditures
End Of Year Balance177103EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.22000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.78000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis15346OtherCostOrOtherBasis
Depreciation5371Depreciation
Book Value9975BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1325456OtherCostOrOtherBasis
Depreciation1087712Depreciation
Book Value237744BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis211465OtherCostOrOtherBasis
Depreciation201200Depreciation
Book Value10265BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings257984TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Related CorporationsDescription
Amount$106,665Amount
FieldValueIRS element (for citing)
Total Of Amounts106665TotalOfAmounts
Total Revenue18057821TotalRevenue
Total Expenses14764749TotalExpenses
Excess Or Deficit For Year3293072ExcessOrDeficitForYear
Excess Or Deficit Per FS3293072ExcessOrDeficitPerFS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrgOther Compensation Filing OrgOtherCompensationFilingOrg
Diane Farraher-Smith
19783710850281727657239161235762
James Nania
3328501615048077906045957444971526707
Charles R Whipple Esq
223564850275524952252121223302

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 VI11aForm 990 was provided to the governing body for review and explanation prior to filing.
Form 990 VI12cAnnually the governing body and key employees are sent the policy and are 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 bodys board and president of the organization.
Form 990 VI15a 15bAnnually the human resources committee of the parent organization, composed of independent directors, reviews the compensation of the president and one or more other officers or key employees using data from an independent third party evaluation of comparable compensation data to assess and set compensation.
Form 990 VI19Documents are available for public inspection upon request of the office of general counsel.
Form 990 XI2bFinancial statements are compiled, reviewed and audited on a consolidatd basis.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Hallmark Health Corporation
170 Governors AveMedfordMA02155042103587ParentMA501c311cN/A
Hallmark Health System
170 Governors AveMedfordMA02155042767880HospitalMA501c39HHC
Hallmark Health Management Corp
170 Governors AveMedfordMA02155042987569ManagementMA501c311cHHC
Hallmark Health Medical Assoc
170 Governors AveMedfordMA02155043140938MD OfficeMA501c39HHC
LM Long Term Care Services Inc
170 Governors AveMedfordMA02155042938772LT CareMA501c311cHHC
North Suburban Long Term Care Inc
170 Governors AveMedfordMA02155222728437LT CareMA501c39HHC
Savin Long Term Care Corp
170 Governors AveMedfordMA02155043012616LT CareMA501c39HHC
Hallmark Health Properties Inc
170 Governors AveMedfordMA02155222580542PropertyMA501c311cHHC
Hallmark Health Services Inc
170 Governors AveMedfordMA02155222602523ServicesMA501c39HHC

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Hallmark Health Investment IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1170 Governors AveAddressLine1
CityMedfordCity
StateMAState
ZIP Code02155ZIPCode
FieldValueIRS element (for citing)
EIN020657666EIN
Primary ActivityInvestmentPrimaryActivity
Legal Domicile StateMALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HH SystemBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeInvestmentPredominantIncomeType
Share Of Total Income453801ShareOfTotalIncome
Share Of EOY Assets11278881ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Hallmark Health System Inc
d21675000
Hallmark Health System Inc
j164564
Hallmark Health Corp
l202888