2024-08-15T13:40:33-05:00 2023-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2022-10-01 043140938 HALLMARK HEALTH MEDICAL ASSOCIATES INC HALL 7819793000 170 GOVERNORS AVENUE MEDFORD MA 02155 WILLIAM WYMAN CFO 7819793000 2024-08-12 1 0 CRAIG KLEIN P00734640 6177610600 2024-08-12 2022 2024-08-08 14:25:15Z KELLY CORBI 170 GOVERNORS AVENUE MEDFORD MA 02155 55062126 0 X HTTPS://HHMA.ORG X 1991 MA HALLMARK HEALTH MEDICAL ASSOCIATES, INC. SUPPORTS THE CHARITABLE MISSION OF MELROSEWAKEFIELD HEALTHCARE, INC. THROUGH THE EMPLOYMENT OF PRIMARY CARE PHYSICIANS AND SPECIALISTS AT PRACTICES THROUGHOUT THE MELROSEWAKEFIELD SERVICE AREA IN NINE LOCAL COMMUNITIES. 6 0 465 0 0 0 1474703 747766 43419847 54308360 0 0 44508 6000 44939058 55062126 0 0 0 0 46194411 51611903 0 0 0 14146556 13307626 60340967 64919529 -15401909 -9857403 9053273 18089772 16045251 16258893 -6991978 1830879 X HALLMARK HEALTH MEDICAL ASSOCIATES, INC. SUPPORTS THE CHARITABLE MISSION OF MELROSEWAKEFIELD HEALTHCARE, INC. THROUGH THE EMPLOYMENT OF PRIMARY CARE PHYSICIANS AND SPECIALISTS AT PRACTICES THROUGHOUT THE MELROSEWAKEFIELD SERVICE AREA. THERE ARE NEARLY 80 PHYSICIANS OPERATING PRACTICES IN 9 DIFFERENT COMMUNITIES WITHIN THE MELROSEWAKEFIELD SERVICE AREA. 0 0 54668089 54319943 THE PURPOSE OF HALLMARK HEALTH MEDICAL ASSOCIATES, INC. IS TO IMPROVE THE QUALITY AND ACCESS TO MEDICAL CARE PROVIDED BY MELROSEWAKEFIELD HEALTHCARE, INC. BY ENCOURAGING PHYSICIANS TO PROVIDE NEEDED MEDICAL SERVICES IN THE HOSPITAL'S SERVICE AREA AND BY OTHERWISE SUPPORTING THE NEEDS OF THE MEDICALLY UNDER-SERVED COMMUNITIES. HALLMARK HEALTH MEDICAL ASSOCATES' PROGRAM SERVICE REVENUE REPRESENTS NET FEES BILLED FOR PHYSICIAN SERVICES PROVIDED IN OBSTETRICS, GYNECOLOGY, INTERNAL MEDICINE, SURGERY, GASTROENTEROLOGY, FAMILY MEDICINE, ENDOCRINOLOGY, PULMONOLOGY, RADIATION ONCOLOGY, INFECTIOUS DISEASE, NEUROLOGY, AND NEUROSURGERY. 54668089 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 465 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X ANDREW DEVOE CFO 9789422220 800 DISTRICT AVENUE BURLINGTON MA 01803 KELLY CORBI DIRECTOR 3.00 40.00 X 0 609479 22445 MICHAEL NEWMAN MD PRESIDENT/DIRECTOR 20.00 23.00 X X 0 763356 116529 STEVEN SBARDELLA CHAIR/DIRECTOR (UNTIL 1/23) 3.00 40.00 X X 0 306374 13776 ELEANOR MORESCO MD VICE CHAIR/DIRECTOR 40.00 3.00 X X 174122 0 12949 PATRICIA SERENO MD PHYSICIAN/CHAIR 40.00 0.00 X X 321495 0 24600 WILLIAM WYMAN TREASURER/DIRECTOR 3.00 40.00 X X 0 451883 85747 ROY EPSTEIN DIRECTOR 3.00 40.00 X 389865 0 21197 CHARLES R WHIPPLE ESQ ASSISTANT CLERK 3.00 40.00 X 0 407469 79835 SHANNON VAUGHAN ASSISTANT SECRETARY 40.00 0.00 X 68767 0 15948 JENNIFER L RAGUCCI CLERK (UNTIL 10/22) 40.00 0.00 X 0 0 0 BRIAN CLARK MD PHYSICIAN 40.00 0.00 X 1116232 0 32284 DOUGLAS SCHULTE PHYSICIAN 40.00 0.00 X 606528 0 21923 JENNIFER WU MD PHYSICIAN 40.00 0.00 X 802933 0 21931 KENNETH SHIEH PHYSICIAN 40.00 0.00 X 685405 0 32159 STEVEN DAKOYANNIS PHYSICIAN 40.00 0.00 X 569753 0 26249 PAMELA WHELTON FORMER INTERIM PRESIDENT/CEO 3.00 40.00 X 0 150000 0 SUSAN SANDBERG FORMER PRESIDENT 0.00 0.00 X 0 650000 0 4735100 3338561 527572 113 1 1 0 ZOCDOC INC 568 BROADWAY NEW YORK NY 10012 AGENCY 698600 SCRIBE AMERICA LLC PO BOX 417756 BOSTON MA 02241 SCRIBES SERVICES 651324 COMPLETE STAFFING SOLUTION INC 33 BOSTON POST ROAD WEST MARLBORO MA 01752 AGENCY 382812 3 742183 5583 747766 PATIENT CARE 621110 38917272 38917272 MANAGED CARE REVENUE 621110 10835100 10835100 HOSPITAL SUPPORT 621110 3695265 3695265 860723 860723 54308360 6000 0 6000 6000 6000 55062126 54314360 0 0 1030590 1030590 43482685 38596056 4886629 717081 598193 118888 3992209 3309072 683137 2389338 1988696 400642 523478 523478 767626 342675 424951 3429556 3391806 37750 29556 20462 9094 58149 58149 448219 335692 112527 1015097 1015097 PURCHASED SERVICES 4004770 1457538 2547232 MEDICAL SUPPLIES 2104568 2104568 EMR FEES 103056 103056 823551 823551 64919529 54668089 10251440 0 198290 2771053 6491267 12267471 15000 0 2592173 1542395 1450335 1049778 898381 2001470 9053273 18089772 12577335 8974254 3467916 7284639 16045251 16258893 X -6991978 1830879 -6991978 1830879 9053273 18089772 X -9857403 18680260 X 0 1 X 1 0 X 29233 4500605 283 1474703 747766 6752590 42579145 44674220 53069133 43419847 54314360 238056705 42608378 49174825 53069416 44894550 55062126 244809295 0 0 0 244809295 8200 11000 44508 63708 8200 11000 44508 63708 42608378 49183025 53080416 44939058 55062126 244873003 0.99970 0.99970 0.00030 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1096010 563014 532996 1413350 915665 497685 82813 63716 19097 1049778 REINSURANCE - MALPRACTICE 85386 DUE FROM TUFTS MEDICAL CENTER, INC. 1187188 DUE FROM TUFTS MEDICAL CENTER PHYS. ORG. 578922 DUE FROM CIRCLE HEALTH 149974 2001470 DUE TO MELROSEWAKEFIELD HEALTHCARE 6974450 DUE TO TUFTS MEDICINE, INC 51527 DUE TO TUFTS MEDICINE CARE AT HOME, INC. 258662 7284639 55062126 0 55062126 0 55062126 64919529 0 64919529 0 64919529 1 1 0 0 0 0 0 0 0 BRIAN CLARK MD PHYSICIAN 782435 0 333041 0 756 0 9150 0 23134 0 1148516 0 0 0 MICHAEL NEWMAN MD PRESIDENT/DIRECTOR 0 649734 0 66950 0 46672 0 96105 0 20424 0 879885 0 41847 JENNIFER WU MD PHYSICIAN 566135 0 233234 0 3564 0 9150 0 12781 0 824864 0 0 0 KENNETH SHIEH PHYSICIAN 670845 0 13817 0 743 0 9150 0 23009 0 717564 0 0 0 SUSAN SANDBERG FORMER PRESIDENT 0 0 0 0 0 650000 0 0 0 0 0 650000 0 0 KELLY CORBI DIRECTOR 0 497275 0 53168 0 59036 0 0 0 22445 0 631924 0 0 DOUGLAS SCHULTE PHYSICIAN 546338 0 57938 0 2252 0 9150 0 12773 0 628451 0 0 0 STEVEN DAKOYANNIS PHYSICIAN 307895 0 260805 0 1053 0 9150 0 17099 0 596002 0 0 0 WILLIAM WYMAN TREASURER/DIRECTOR 0 391798 0 49791 0 10294 0 65464 0 20283 0 537630 0 0 CHARLES R WHIPPLE ESQ ASSISTANT CLERK 0 305203 0 31940 0 70326 0 51967 0 27868 0 487304 0 60022 ROY EPSTEIN DIRECTOR 313432 0 74480 0 1953 0 9045 0 12152 0 411062 0 0 0 PATRICIA SERENO MD PHYSICIAN/CHAIR 293491 0 26766 0 1238 0 6331 0 18269 0 346095 0 0 0 STEVEN SBARDELLA CHAIR/DIRECTOR (UNTIL 1/23) 0 232633 0 14413 0 59328 0 13578 0 198 0 320150 0 27992 ELEANOR MORESCO MD VICE CHAIR/DIRECTOR 173121 0 0 0 1001 0 5310 0 7639 0 187071 0 0 0 PAMELA WHELTON FORMER INTERIM PRESIDENT/CEO 0 150000 0 0 0 0 0 0 0 0 0 150000 0 0 PART I, LINE 3 RELATED ORGANIZATION METHODS USED FOR COMPENSATION EXPLANATION - ANNUALLY, THE HUMAN RESOURCES COMMITTEE OF THE PARENT CORPORATION, MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION, AND THE HOSPITAL CORPORATION, MELROSEWAKEFIELD HEALTHCARE, INC., COMPRISED OF INDEPENDENT DIRECTORS REVIEW THE COMPENSATION OF THE PRESIDENT AND THE EXECUTIVE TEAM USING DATA FROM AN INDEPEDENT THIRD PARTY EVALUATION OF COMPARABLE COMPENSATION DATA TO ASSESS AND SET COMPENSATION. COMPENSATION IS PAID BY A RELATED CORPORATION. PART I, LINES 4A-B PART 1, LINE 4A: SUSAN SANDBERG RECEIVED SEVERANCE IN THE AMOUNT OF $650,000 IN CALENDAR YEAR 2022. PART 1, LINE 4B: SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: MICHAEL NEWMAN: $87,105 CHARLES WHIPPLE: $42,953 WILLIAM WYMAN: $54,139 STEVEN SBARDELLA: $13,578 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION, PARENT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS ONE MEMBER, THE PARENT CORPORATION, WHICH ELECTS THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE MEMBER, THE PARENT CORPORATION, HAS APPROVAL POWER OVER ACTIONS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF 990 - THE 990 IS MADE AVAILABLE TO THE GOVERNING BODY FOR REVIEW PRIOR TO THE FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE PRESIDENT AND ONE OR MORE OF THE OFFICERS, AND/OR DIRECTORS ARE GIVEN THE CONFLICT POLICY AND ARE REQUIRED TO COMPLETE A DISCLOSURE FORM THAT IS SUBMITTED TO THE OFFICE OF THE GENERAL COUNSEL FOR REVIEW. THE CONTENTS OF THE DISCLOSURE AND ACTIONS NECESSARY TO ADDRESS CONFLICTS ARE REVIEWED BY THE CHAIR OF THE PARENT CORPORATION'S GOVERNING BODY AND ITS PRESIDENT. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, THE HUMAN RESOURCES COMMITEE OF THE PARENT CORPORATION, COMPRISED OF INDEPENDENT DIRECTORS, REVIEWS THE COMPENSATION OF THE PRESIDENT AND MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM, USING DATA FROM INDEPENDENT THIRD PARTY EVALUATION OF COMPARABLE COMPENSATION DATA. COMPENSATION IS PAID TO THE PRESIDENT AND THE EXECUTIVE LEADERSHIP BY RELATED CORPORATIONS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE OFFICE OF THE GENERAL COUNSEL. THE ORGANIZATION'S FINANCIAL STATEMENTS AND FORM 990 ARE MADE AVAILABLE TO THE PUBLIC ON THE WEBSITE OF THE PUBLIC CHARITIES DIVISION OF MASSACHUSETTS ATTORNEY GENERAL. FORM 990, PART XI, LINE 9: INTERENTITY NET ASSET TRANSFERS 18,680,260. 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MA 501(C)(3) LINE 12B, II TUFTS MEDICAL CENTER PARENT INC 1 LOWELL GENERAL HOSPITAL AUXILIARY 295 VARNUM AVENUE LOWELL MA 01854 223459303 SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12A, I N/A 0 CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOSTON MA 02111 823315703 MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC 1 TUFTS MEDICINE CARE AT HOME PARENT INC 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 222587225 MANAGEMENT SERVICES MA 501(C)(3) LINE 12B, II TUFTS MEDICINE INC 1 HOME HEALTH VNA INC 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 042435675 HOME HEALTH CARE MA 501(C)(3) LINE 10 TUFTS MEDICINE CARE AT HOME PARENT INC 1 TUFTS MEDICINE CARE AT HOME INC 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 043024278 HOSPICE SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICINE CARE AT HOME PARENT INC 1 HOME CARE INC 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 042854358 HOME HEALTH SUPPORTIVE SERIVCES MA 501(C)(3) LINE 10 TUFTS MEDICINE CARE AT HOME PARENT INC 1 MONTVALE PETCT LLC 100 BAYVIEW CIRCLE SUITE 400 NEWPORT BEACH CA 92660 270325022 CAT SCAN DE MELROSEWAKEFIELD HEALTHCARE INC RELATED 0 0 SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT LLC 800 WASHINGTON STREET BOSTON MA 02111 320558307 MEDICAL SERVICES (MRI) MA TUFTS MEDICAL CENTER INC RELATED 0 0 HALLMARK HEALTH PHO INC 170 GOVERNORS AVE MEDFORD MA 02155 461134759 PHYSICIAN HOSPITAL ORGANIZATION MA MELROSEWAKEFIELD HEALTHCARE INC C 0 LAWRENCE MELROSE MEDICAL ELECTRONICS RECORD INC 170 GOVERNORS AVE MEDFORD MA 02155 421685777 ELECTRONIC MEDICAL RECORDS MA MELROSEWAKEFIELD HEALTHCARE INC C 0 LGH MANAGEMENT SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 042919244 MEDICAL SERVICES MA LGH SERVICES INC C 1 LGH MEDICAL BUILDING SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 043058954 MEDICAL OFFICE BUILDING MA LGH SERVICES INC C 1 LGH MEDICAL SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 261889904 MEDICAL SERVICES MA LGH SERVICES INC C 1 LGH SERVICES INC 295 VARNUM AVENUE LOWELL MA 01854 042854673 MEDICAL SERVICES MA CIRCLE HEALTH INC C 1 TUFTS MEDICINE INDEMNITY COMPANY LTD 800 WASHINGTON STREET BOSTON MA 02111 980444573 CAPTIVE INSURANCE CJ TUFTS MEDICAL CENTER INC C 1 TMIN SERVICES INC 800 DISTRICT AVENUE BURLINGTON MA 01803 922005219 HEALTH CARE MA TUFTS MEDICINE INTEGRATED NETWORK INC C 1 0 0 1 1 1 0 0 0 0 0 1 1 1 0 0 0 0 1 1 MELROSEWAKEFIELD HEALTHCARE INC S 17949850 BOOK VALUE MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION K 311239 FAIR MARKET VALUE MELROSEWAKEFIELD HEALTHCARE INC K 945847 FAIR MARKET VALUE HALLMARK HEALTH PROPERTIES K 1781360 FAIR MARKET VALUE MELROSEWAKEFIELD HEALTHCARE INC L 1850726 ACTUAL COST AND TIME ALLOCATION MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION M 138751 ACTUAL COST AND TIME ALLOCATION TUFTS MEDICINE INC E 51528 BOOK VALUE MELROSEWAKEFIELD HEALTHCARE INC E 6974450 BOOK VALUE TUFTS MEDICAL CENTER PHYSICIANS ORG D 578922 BOOK VALUE TUFTS MEDICAL CENTER INC D 1187188 BOOK VALUE TUFTS MEDICINE CARE AT HOME INC E 258662 BOOK VALUE CIRCLE HEALTH PHYSICIANS INC D 149974 BOOK VALUE HALLMARK HEALTH PROPERTIES INC S 1399284 BOOK VALUE HALLMARK HEALTH PHO INC C 742183 BOOK VALUE