2019-08-07T13:31:44-05:00 2018-09-30 350921680 CROWE LLP 175 Powder Forest Drive Simsbury CT 060897902 990 2017-10-01 043358566 UMass Memorial Health Care Inc (Parent) UMAS 5083340496 306 Belmont Street Worcester MA 01604 Sergio Melgar EVP/CFO/Treasurer 2019-08-07 true RACHEL SPURLOCK P00520729 8606789200 2017 2019-02-21 02:37:17Z Sergio Melgar 306 Belmont Street Worcester MA 01604 412489512 false X umassmemorialhealthcare.org X 1998 MA To support, develop and coordinate an integrated health care delivery system that includes multiple health care facilities and providers. To receive in trust, from whatever source, and administer gifts and grants, whether restricted or for a specific purpose. To promote services and programs that are charitable, scientific or educational and that address the physical and mental needs of the community at large, provided the corporation shall operate exclusively for the benefit of the Medical Center and other charitable organizations or hospitals that are under common control. 19 14 1895 17 31371 27971 2732983 2579116 258358386 383884691 20650520 25859186 76114 26610 281818003 412349603 443507 287342 0 0 92170900 166662629 0 0 350133 158403961 193414090 251018368 360364061 30799635 51985542 575845502 697446791 88603577 219924727 487241925 477522064 UMASS MEMORIAL HEALTH CARE, INC. IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICES, TEACHING AND RESEARCH. false false 354470876 287342 383884691 TO SUPPORT THE ADVANCEMENT OF THE KNOWLEDGE, EDUCATION, AND RESEARCH AND THE PRACTICE OF HEALTH CARE RELATED SERVICES THROUGH THE OVERSIGHT OF UMASS MEMORIAL HEALTH CARE OPERATIONS AND THE EFFICIENT DELIVERY OF SUPPORT SERVICES. 354470876 true true false true false false false false true true true false true true true false true false true true false false false true false false true false true true false true false false false false false false true false false false false false true true true true false true 442 0 true 1895 true true true true CJ false false false false true false false false X 19 14 false false false false false true false true true false false true true true true true true true true false MA X Robert Feldmann 5083340496 306 Belmont Street Worcester MA 01604 Eric W Dickson MD President & CEO/Director, UMM Health Care, Inc. 40.0 5.0 X X 1971617 0 286378 Richard Siegrist Chairperson, UMM Health Care, Inc. 1.0 1.0 X X 0 0 0 David L Bennett Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Richard K Bennett Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Leslie Bovenzi Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Michael Collins MD Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Edward D'Alelio Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Robert W Finberg MD Director, UMM Health Care, Inc. 5.0 20.0 X 0 412317 70753 Terence Flotte MD Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Elvira Guardiola Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Mark Johnson MD Director, UMM Health Care, Inc. 5.0 28.0 X 0 583346 42932 Nancy Kane Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Paul Kangas Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Peter Knox Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Harris L MacNeill Director until 3/7/18, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Mary Ellen McNamara Director until 3/7/18, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 O Nsidinanya Okike MD Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Edward J Parry III Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Raymond Pawlicki Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Paulette Seymour-Route PhD Director, UMM Health Care, Inc. 1.0 1.0 X 0 64400 0 Jack Wilson PhD Director until 3/7/18, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Lynda M Young MD Director, UMM Health Care, Inc. 1.0 1.0 X 0 14176 0 Katharine Bolland Eshghi Assistant Secretary, UMM Medical Center, Inc. 40.0 5.0 X 471495 0 98609 Douglas S Brown Secretary, UMM Health Care, Inc. 40.0 5.0 X 916225 0 168910 Sergio Melgar EVP/CFO/Treasurer, UMM Health Care, Inc. 40.0 5.0 X 1128030 0 196060 Lisa Colombo SVP, Patient Care Svcs & CNO until 9/30/18 5.0 40.0 X 0 426070 90151 William Corbett MD SR VP, COMMUNITY PRACTICES 5.0 40.0 X 0 537529 123441 James P Cyr Sr. VP, Operations (UMMMC) 5.0 40.0 X 0 350311 93483 Therese Day VP/CFO of Medical Center 5.0 40.0 X 0 439667 114439 Robert Feldmann VP, CORP CONTROLLER 40.0 5.0 X 401201 0 99628 Barbara Fisher Sr VP, Operations (UMMMC) 5.0 40.0 X 0 368268 99111 Nicole Gagne President, Community HealthLink, Inc. 5.0 40.0 X 0 258092 47743 John Greenwood SVP, POP HLTH & PRESIDENT, ACO 5.0 40.0 X 0 396901 111275 Cheryl M Lapriore SVP, CHF OF STAFF & CHF MKTG OFC 40.0 5.0 X 428638 0 105493 Bart Metzger Sr VP, Chief HR Officer 40.0 5.0 X 646301 0 126071 Patrick Muldoon PRESIDENT UNTIL 1/2018, UMM MEDICAL CENTER, INC 5.0 40.0 X 0 1273527 235058 John T Randolph VP, Chief Corporate Compliance 40.0 5.0 X 307296 0 92657 Steven Roach President, Marlborough Hospital 5.0 40.0 X 0 478029 89577 Alice Shakman Sr. VP, Operations (UMMMC) 5.0 40.0 X 0 370497 82856 Jeffrey A Smith MD EXECUTIVE VP, COO UNTIL 7/2018 5.0 40.0 X 0 699029 126993 Michele Streeter EXEC VP/COO UMMMG 5.0 40.0 X 0 622444 113797 Dana E Swenson SR VP, CHIEF FACILITIES OFFICER 40.0 5.0 X 319302 0 89516 Timothy Tarnowski SR VP, CHIEF INFO OFFICER & CTO 40.0 5.0 X 625668 0 136562 Stephen E Tosi MD CHIEF PHYSICIAN EXECUTIVE 5.0 40.0 X 0 1026601 102354 Deborah Weymouth President, HealthAlliance-Clinton Hospital 5.0 45.0 X 0 513472 128007 Eric J Alper MD VP, CHIEF CLIN INFORMATICS OFC 40.0 0 X 467597 0 68775 Sheila Daly SR PLNG DIR, IS EMR CLIN OC 40.0 0 X 351278 0 40296 John R Salzberg VP, SYSTEM REV CYCLE OPS & CRO 40.0 0 X 314522 0 101302 Alan R Weston VP, HUMAN RESOURCES 40.0 0 X 353611 0 93483 Tod G Wiesman VP, OPD,CHIEF LEARNING OFFICER 40.0 0 X 358676 0 81198 Margaret Hudlin MD FORMER KEY EE, CHIEF MED OFFICER/VP PERIOPERATIVE SVCS 0 X 0 485142 182 Carlos Iitsuka FORMER KEY EE SR VP,STRATEGY&BUSIN DVLPMT until 7/16 0 X 100637 0 10360 9162094 9319818 3467450 227 true true false CROTHALL HLTHCARE INC 13028 Collection Center Drive Chicago IL 60693 Clinical Engineering Service 11552209 STOLTENBERG CONSULTING INC 5815 Library Road Bethel Park PA 15102 Consulting Service 9996469 DIVURGENT LLC 4445 Corporation Ln Suite 228 Virginia Beach VA 23462 Consulting Service 8385830 ERNST & YOUNG LLP PO BOX 640382 PITTSBURGH PA 15264 Consulting Service 6788902 VIZIENT INC 72 Remittance Drive Suite 1334 Chicago IL 606751334 Supply Chain Services 4770379 111 110486 611912 241486 1615232 11054 2579116 System Allocation Revenue 622110 337602234 337602234 Professional Liability Premium 622110 29119332 29119332 Workers Compensation Premium 622110 9153948 9153948 General Insurance Premium 622110 2468026 2468026 Other Program Service Revenue 622110 5541151 5541151 0 0 0 0 383884691 25859186 31371 25827815 73186 73186 0 0 0 0 93333 611912 139909 -46576 -46576 0 0 0 0 0 412349603 383884691 31371 25854425 X 287342 287342 8634693 8634693 112967919 110753512 2214407 12103608 11883199 220409 22930587 22513017 417570 10025822 9843250 182572 1157454 1157454 1088765 1073686 15079 13027 13027 953065 953065 40138856 39299696 839160 0 1043014 1043014 2369048 2335675 33373 90608804 90608804 12541685 12240586 301099 598113 497647 100466 180137 148007 32130 3554765 3554765 26989510 26989510 10890683 10868425 22258 Fundraising Expenses 350133 350133 Membership Dues 613591 405282 208309 Taxes Fees and Fines 224173 224173 Federal and state income taxes 809 809 98458 96112 2346 0 360364061 354470876 5543052 350133 4226682 3035931 4379524 4538200 812202 1002492 1277675 959204 0 0 13695810 36666382 279273816 29971914 198147776 249301902 1319532 1212551 300980905 316913484 0 51005396 83816645 575845502 697446791 43129820 37517284 364564 108302 116493502 0 45109193 65805639 88603577 219924727 X 428008694 417348702 32294604 32595849 26938627 27577513 487241925 477522064 575845502 697446791 X 51985542 -8797093 -52908310 X X false true X true true true X X 14 UMASS MEMORIAL MEDICAL CENTER INC 043358564 3 true 251962844 0 Marlborough Hospital 042104693 3 false 8878889 0 UMass Memorial HealthAlliance-Clinton Hospital Inc 042103555 3 false 29668551 0 UMass Memorial Medical Group Inc 042911067 9 false 87421543 0 UMass Memorial Accountable Care Organization Inc 462871359 9 false 791401 0 UMass Memorial Realty Inc 042805630 9 false 294238 0 Community HealthLink Inc 042626179 9 false 763273 0 HealthAlliance Home Health and Hospice Inc 042932308 9 false 62954 0 UMass Memorial Behavioral Health System Inc 043374724 9 false 0 0 UMass Memorial Community Hospitals Inc 043296271 3 false 0 0 UMass Memorial Health Ventures Inc 222605679 9 false 0 0 Central New England HealthAlliance Inc 043172496 9 false 0 0 Coordinated Primary Care Inc 043210002 9 false 0 0 13 379843693 0 false false false false false true false false false false false false false false false true true true X true true Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name According to the Articles of Organization of UMass Memorial Health Care, Inc., the corporation shall operate exclusively for the benefit of UMass Memorial Medical Center, Inc. and other charitable organizations or hospitals that are controlled by or under common control with the corporation in the conduct of their charitable, educational and scientific functions. Schedule A, Part IV, Section A, Line 6 Support to other supported orgs See details on Schedule I. Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies THE ORGANIZATIONS SUPPORTED HAVE A SIGNIFICANT VOICE IN THE ORGANIZATION'S INVESTMENT POLICIES, AS WELL AS IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME OR ASSETS. THE SUPPORTING ORGANIZATIONS PARTICIPATE ON THE INVESTMENT COMMITTEE TO DIRECT THE INVESTMENTS OF THE UMASS MEMORIAL INVESTMENT PARTNERSHIP, IN WHICH THE SUPPORTING ORGANIZATION'S FUNDS ARE INVESTED. Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee THE PARENT ORGANIZATION HAS THE POWER TO REGULARLY APPOINT OR ELECT A MAJORITY OF THE OFFICERS, DIRECTORS, OR TRUSTEES OF EACH SUPPORTED ORGANIZATION. Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities THE ORGANIZATION EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS THROUGH THE DIRECTION OF THE OFFICERS AND DIRECTORS OF THE SUPPORTED ORGANIZATIONS. THERE ARE RESERVED POWERS OF THE PARENT OVER ITS SUBSIDIARIES FOR SIGNIFICANT CORPORATE ACTIONS RELATED TO SUCH ITEMS AS AGREEMENTS TO SELL ASSETS, MERGERS, CAPITAL AND OPERATING BUDGETS, LOAN AGREEMENTS, ELECTION OF THE PRESIDENT, CHANGES TO ARTICLES OF ORGANIZATION/BYLAWS, ADOPTION OF STRATEGIC PLAN, ETC. false false false false false false false true 13027 13027 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Amounts represent percentage of lobbying expenses included in membership dues paid to the following associations: Americas Essential Hospitals $10,631 Professional Liability Foundation, LTD. $1,000 Association of American Medical Colleges $1,000 American College of Surgeons $387 World At Work $9 Total $13,027 Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Amounts represent percentage of lobbying expenses included in membership dues paid to the following associations: Americas Essential Hospitals $10,631 Professional Liability Foundation, LTD. $1,000 Association of American Medical Colleges $1,000 American College of Surgeons $387 World At Work $9 Total $13,027 47869272 656633 2338097 2479457 48384545 46909090 10239 4215185 3265242 47869272 43468456 50063 4149383 758812 46909090 41513886 2878559 -561040 362949 43468456 39106196 3703446 1295756 41513886 0.0 0.57 0.43 false false 16235590 4126375 12109215 263038226 25845539 237192687 249301902 2300742 F Investment in captive insurance company 120000 C Units in investment partnership 314492742 F 316913484 Due from related parties 82991211 Cash value of life insurance policies 38182 Beneficial interest 787252 83816645 Due to UMass Medical School 123900 Oustanding loss reserves 37861329 Annuity payable 2284345 Accrued incentive compensation 708827 Other current liabilities 4916385 Purchase commitments 17615200 Contribution payable - Wachusett 2295653 Other long-term liabilities 65805639 X Schedule D, Part V, Line 4 Intended uses of endowment funds The intended use of the organization's endowment funds are directed in accordance with the donor's intent including the preservation of the original gift and various purposes including charity care, medical education, research, health care services, buildings and equipment. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The System follows a two-step approach for the financial statement recognition and measurement of a tax position taken or expected to be taken on a tax return. The substantial majority of UMass Memorial and its affiliate entities are recognized by the Internal Revenue Service as tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Accordingly, these entities will not incur any liability for federal income taxes except for tax on unrelated taxable business income ("UBTI"). Certain affiliates are taxable entities. The measurement of the amounts recorded as a provision for income taxes based upon the aforementioned approach was $675,000 and $315,000 for the years ended September 30, 2018 and 2017, respectively, and is recorded as part of supplies and other expense in the accompanying consolidated statements of operations. The Tax Cuts and Jobs Act (the "Act") was enacted on December 22, 2017. The Act impacts the System in several ways, including new excise taxes on executive compensation and net investment income, increases to UBTI by the amount of certain fringe benefits for which a deduction is not allowed, changes to the net operating loss rules, repeal of the alternative minimum tax ("AMT"), and the computation of UBTI separately for each unrelated trade or business. Further, the Act reduces the US federal corporate tax rate and federal corporate unrelated business income tax rate from 35% to 21%. The overall impact of the Act remains uncertain and the full impact of the Act will not be known until further regulatory guidance is provided to assist the System with calculating income and excise tax liabilities. The System continues to evaluate the impact of tax reform on the organization. For the years ended September 30, 2018 and 2017, the System had approximately $15,500,000 and $26,992,000 of net operating loss ("NOL") carryforwards for federal income tax purposes primarily related to its previously discontinued laboratory outreach business. The NOL carryforwards have expiration dates from 2020 through 2035. The deferred tax assets of $9,447,000 were fully reserved as of September 30, 2017, due to the uncertainty regarding use of the deferred tax assets. In compliance with the Tax Cuts and Jobs Act of 2017, enacted in December 2017, the federal components of the deferred tax assets were revalued from 35% to 21%. For the year ended September 30, 2018, the System believes the deferred tax assets of $3,000,000 will be fully utilized and recognized an income tax benefit of the remaining $3,000,000 which has been recorded in supplies and other expense in the accompanying statement of operations. The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of September 30, 2018. Central America and the Caribbean 1 1 Conducting board meetings,Accounting 171141 Central America and the Caribbean 0 0 Investments 120000 Central America and the Caribbean 0 0 Program Services Reimbursement of claims paid 28509716 Central America and the Caribbean 0 0 Program Services Insurance premiums paid 3644992 1 1 0 0 1 1 32445849 0 32445849 true false true false false false Winter Ball 603260 551082 52178 0 10820 35610 32250 8200 16075 Derby for Drew 39988 28177 11811 0 0 10549 0 0 0 2 61997 32653 29344 0 0 26405 0 0 0 705245 611912 93333 0 10820 72564 32250 8200 16075 139909 -46576 true City of Worcester 455 Main Street Worcester MA 01608 046001418 City of Worcester 123000 0 N/A N/A Support Worcester Division of Public Health-$63,000; Support of 2018 Summer Recreation Program for inner city youth-$60,000 Community Legal Aid 405 Main Street Worcester MA 01608 042446242 501(c)(3) 29773 0 N/A N/A Support Medical Legal Partnership bewteen Umass Memorial & Community Legal Aid Worcester Railers HC Charitable Fnd 900 Cummings Ctr Beverly MA 01915 811645767 501(c)(3) 25000 0 N/A N/A Hockey Sponorship University of MA Medical School 55 Lake Ave N Worcester MA 01655 043167352 50000 0 N/A N/A ECOG Grant - Reduce Length of Stay-$25,000; ECOG Grant - Same day discharge-$25,000 Regional Environmental Council POBox 255 Worcester MA 01613 046364350 501(c)(3) 15500 0 N/A N/A Support access to healthy food Physician Health Services Inc 860 Winter Street Waltham MA 024511414 223234975 501(c)(3) 12500 0 N/A N/A Support for Caring for Physicians Health Campaign UMass Memorial HealthAlliance-Clinton Hospital Inc 60 Hospital Road Leominster MA 01453 042103555 501(c)(3) 12000 0 N/A N/A Sponsorship for HealthAlliance-Clinton Annual Golf Classic Francis Ouimet Scholarship Fund 300 Arnold Palmer Blvd Norton MA 02766 042234126 501(c)(3) 10000 0 N/A N/A Caddy Workforce program for Youth at Greenhill Park 7 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. AT REASONABLE INTERVALS, RE-EVALUATION OF THE GRANTS WILL OCCUR TO ENSURE THAT THE ARRANGEMENTS ARE EXPECTED TO CONTINUE TO SATISFY THE STANDARD SET FORTH. X X X X X true true false false false false false false false Eric W Dickson MD President & CEO/Director, UMM Health Care, Inc. 1164723 0 729234 0 77660 0 225716 0 60662 0 2257995 0 75392 0 Robert W Finberg MD Director, UMM Health Care, Inc. 0 287991 0 68175 0 56151 0 37954 0 32799 0 483070 0 56151 Mark Johnson MD Director, UMM Health Care, Inc. 0 549649 0 33697 0 0 0 13500 0 29432 0 626278 0 0 Katharine Bolland Eshghi Assistant Secretary, UMM Medical Center, Inc. 335841 0 100322 0 35332 0 73845 0 24764 0 570104 0 35332 0 Douglas S Brown Secretary, UMM Health Care, Inc. 578066 0 278340 0 59819 0 143396 0 25514 0 1085135 0 59819 0 Sergio Melgar EVP/CFO/Treasurer, UMM Health Care, Inc. 717942 0 346655 0 63433 0 156149 0 39911 0 1324090 0 63433 0 Margaret Hudlin MD FORMER KEY EE, CHIEF MED OFFICER/VP PERIOPERATIVE SVCS 0 0 0 16184 0 468958 0 0 0 182 0 485324 0 33380 Carlos Iitsuka FORMER KEY EE SR VP,STRATEGY&BUSIN DVLPMT until 7/16 0 0 9639 0 90998 0 10238 0 122 0 110997 0 19179 0 Lisa Colombo SVP, Patient Care Svcs & CNO until 9/30/18 0 334636 0 91434 0 0 0 65416 0 24735 0 516221 0 0 William Corbett MD SR VP, COMMUNITY PRACTICES 0 373570 0 121907 0 42052 0 100363 0 23078 0 660970 0 42052 James P Cyr Sr. VP, Operations (UMMMC) 0 248584 0 76167 0 25560 0 66618 0 26865 0 443794 0 25560 Therese Day VP/CFO of Medical Center 0 314369 0 94474 0 30824 0 89775 0 24664 0 554106 0 30824 Robert Feldmann VP, CORP CONTROLLER 284621 0 86017 0 30563 0 73284 0 26344 0 500829 0 30563 0 Barbara Fisher Sr VP, Operations (UMMMC) 0 259510 0 78937 0 29821 0 73299 0 25812 0 467379 0 29821 Nicole Gagne President, Community HealthLink, Inc. 0 198129 0 59963 0 0 0 21247 0 26496 0 305835 0 0 John Greenwood SVP, POP HLTH & PRESIDENT, ACO 0 291286 0 87660 0 17955 0 86197 0 25078 0 508176 0 17955 Cheryl M Lapriore SVP, CHF OF STAFF & CHF MKTG OFC 316907 0 86470 0 25261 0 81478 0 24015 0 534131 0 25261 0 Bart Metzger Sr VP, Chief HR Officer 379780 0 113958 0 152563 0 99210 0 26861 0 772372 0 152563 0 Patrick Muldoon PRESIDENT UNTIL 1/2018, UMM MEDICAL CENTER, INC 0 828620 0 385978 0 58929 0 194457 0 40601 0 1508585 0 58929 John T Randolph VP, Chief Corporate Compliance 235707 0 71589 0 0 0 61242 0 31415 0 399953 0 0 0 Steven Roach President, Marlborough Hospital 0 342311 0 100657 0 35061 0 63008 0 26569 0 567606 0 35061 Alice Shakman Sr. VP, Operations (UMMMC) 0 262681 0 77923 0 29893 0 67328 0 15528 0 453353 0 29893 Jeffrey A Smith MD EXECUTIVE VP, COO UNTIL 7/2018 0 516702 0 154983 0 27344 0 92144 0 34849 0 826022 0 27344 Michele Streeter EXEC VP/COO UMMMG 0 402790 0 195469 0 24185 0 85445 0 28352 0 736241 0 24185 Dana E Swenson SR VP, CHIEF FACILITIES OFFICER 245447 0 73855 0 0 0 66438 0 23078 0 408818 0 0 0 Timothy Tarnowski SR VP, CHIEF INFO OFFICER & CTO 446337 0 134120 0 45211 0 96273 0 40289 0 762230 0 45211 0 Stephen E Tosi MD CHIEF PHYSICIAN EXECUTIVE 0 639593 0 308564 0 78444 0 71461 0 30893 0 1128955 0 78444 Deborah Weymouth President, HealthAlliance-Clinton Hospital 0 405809 0 107663 0 0 0 95016 0 32991 0 641479 0 0 Eric J Alper MD VP, CHIEF CLIN INFORMATICS OFC 367422 0 100175 0 0 0 39529 0 29246 0 536372 0 0 0 Sheila Daly SR PLNG DIR, IS EMR CLIN OC 201148 0 16107 0 134023 0 30305 0 9991 0 391574 0 67761 0 John R Salzberg VP, SYSTEM REV CYCLE OPS & CRO 240858 0 58537 0 15127 0 70100 0 31202 0 415824 0 15127 0 Alan R Weston VP, HUMAN RESOURCES 271321 0 65581 0 16709 0 61141 0 32342 0 447094 0 16709 0 Tod G Wiesman VP, OPD,CHIEF LEARNING OFFICER 259966 0 98710 0 0 0 43075 0 38123 0 439874 0 0 0 Schedule J, Part II 1) THE ABOVE DIRECTORS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR Schedule J, Part I, Line 4a Severance or change-of-control payment The following individuals received severance in the reporting period: Included in Sch J Col Biii: Hudlin, Margaret, MD $435,578 Iitsuka, Carlos $71,819 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE REPORTING PERIOD: Officers, Directors, Trustees: Bolland Eshghi, Katharine $35,332 Brown, Douglas S. $59,819 Corbett, William, MD $42,052 Day, Therese $30,824 Dickson, Eric W., MD $75,392 Finberg, Robert W., MD $56,151 Greenwood, John $17,955 Lapriore, Cheryl M. $25,261 Melgar, Sergio $63,433 Muldoon, Patrick $58,929 Philbin, Chris $17,076 Roach, Steven $35,061 Shirshac, Jeanne $16,339 Streeter, Michele $24,185 Tosi, Stephen E., MD $78,444 Subtotal Off, Dir, Trustees $636,253 Key Employees: Cyr, James P. $25,560 Feldmann, Robert $30,563 Fisher, Barbara $29,821 Metzger, Bart $152,563 Shakman, Alice $29,893 Smith, Jeffrey A., MD $27,344 Tarnowski, Timothy $45,211 Subtotal Key Employees $340,955 Former: Hudlin, Margaret, MD $33,380 Iitsuka, Carlos $19,179 Subtotal Former $52,559 Parent Top 5 Highest Paid: Weston, Alan R. $16,709 Salzberg, John R. $15,127 Daly, Sheila $67,761 Subtotal Top 5 highest paid $99,597 Total $1,129,364 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE REPORTING PERIOD (no distribution received): Officers, Directors, Trustees: Colombo, Lisa Gagne, Nicole Swenson, Dana E. Weymouth, Deborah Key Employees: Randolph, John T. Parent Top 5 Highest Paid: Alper, MD, Eric J Wiesman, Tod G. A Massachusetts Development Finance Agency 043431814 000000000 2016-12-07 125000000 Series J/Master Lease: purchase and implement new electronic medical record and billing system false false false A 8514751 0 125085627 0 0 0 341000 0 0 124744627 0 0 2017 false false true true A false false false false 0.0 0.0 0.0 false false true A false true false false true false false false true A true Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Development Finance Agency N/A Substantial Contributor Substantial Contributor 3816869 Independent Contractor Arrangement false Substantial Contributor Substantial Contributor 585064 Independent Contractor Arrangement false Substantial Contributor Substantial Contributor 476285 Independent Contractor Arrangement false Substantial Contributor Substantial Contributor 266777 Independent Contractor Arrangement false Substantial Contributor Substantial Contributor 247035 Independent Contractor Arrangement false Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE CHANCELLOR OF THE UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL HAS CONTROL OVER 4 TRUSTEE SEATS OF THE ORGANIZATION. Form 990, Part VI, Line 11b Review of form 990 by governing body SECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S COMPENSATION COMMITTEE (THAT OVERSEES ALL BOARDS). THE ORGANIZATION'S COMPLIANCE COMMITTEE (THAT OVERSEES ALL BOARDS) REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990 AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL. THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990. Form 990, Part VI, Line 12c Conflict of interest policy THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS AND MANAGEMENT TO COMPLETE ANNUAL DISCLOSURE STATEMENTS AND, TO UPDATE THESE DISCLOSURE STATEMENTS FOR SIGNIFICANT CHANGES IN THEIR OUTSIDE GOVERNANCE AND PROFESSIONAL ACTIVITIES OR, FINANCIAL RELATIONSHIPS AS APPROPRIATE. ADDITIONALLY, ALL TRANSACTIONS INVOLVING BOARD MEMBERS OR MANAGEMENT AND THE ORGANIZATION ARE REQUIRED TO BE APPROVED BY THE COMPLIANCE COMMITTEE OF THE BOARD. The following groups of individuals are covered by this policy: a. All Trustees/Directors: all UMM entities b. UMMHC/UMMMC/UMMMG: Dept Heads and above; selected others c. Physicians: all employed physicians, members of any board committee, members of Medical Staff Executive Committees; others as determined appropriate THERE IS ACTIVE MONITORING by the UMMHC Compliance office AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH ACTIVITIES/DECISIONS. Any conflicts identified are MANAGED AND reported to the appropriate officer and/or governing body. We have an appropriate management plan with any individuals with outside relationships that require mitigation. Where it is necessary, individuals may provide subject matter expertise however they have no influence or authorization of decisions for the organization. Form 990, Part VI, Line 15a Process to establish compensation of top management official Compensation matters involving the CEO and Senior Executives are overseen by the Compensation Committee of the Board, which was designated this authority by the Organization's Board of Trustees. The Compensation Committee approved a Compensation Philosophy and Policy which govern compensation matters. THE PHILOSOPHY INCLUDES THE OBJECTIVES OF THE PROGRAM COMPONENTS OF EXECUTIVE COMPENSATION, THE RELEVANT MARKET POSITIONING IN THE MARKET, FACTORS CONSIDERED IN SETTING EXECUTIVE COMPENSATION AND THE IMPORTANCE OF TYING SUCH COMPENSATION TO PERFORMANCE. Independent outside compensation consultants are hired by and report to the Compensation Committee of the Board and provide advice to the Committee on compensation matters. THE COMMITTEE WORKS WITH THESE CONSULTANTS AND WITH LEGAL COUNSEL TO ENSURE THAT ALL COMPENSATION PAID, AS WELL AS THE PROCESS FOLLOWED TO DETERMINE SUCH COMPENSATION IS REASONABLE, MEETS ALL REGULATORY REQUIREMENTS AND IS COMPETITIVE WITH THE RELEVANT MARKET. During the fiscal year, the Compensation Committee met to review and vote on the compensation for the CEO and key personnel. The Compensation Committee voted and approved the CEO's compensation at their annual meeting in March 2018. All other key personnel were voted on and approved at the annual meeting in December 2017. Form 990, Part VI, Line 15b Process to establish compensation of other employees Tier Title Review date: A President, CEO March 2018 B Exec VP/COO UMMMG December 2017 B President, UMMH & CAO/CLO, UMMHC December 2017 B Chief Physician Executive December 2017 B President, Medical Center December 2017 B Exec VP, CFO December 2017 C SVP, Chf of Staff &Chf Mktg Ofc December 2017 C Sr VP, Community Practices December 2017 C VP/Chief Financial Officer Med Center December 2017 C VP, Chief Corporate Compliance December 2017 C VP of Finance/Corp Controller December 2017 C Sr VP, Operations (UMMMC) December 2017 C Sr VP, Operations (UMMMC) December 2017 C Sr VP, Chief Facilities Officer December 2017 C Sr VP, Operations (UMMMC) December 2017 C SVP, Pop Hlth & President, ACO December 2017 C Sr VP, General Counsel-PGL December 2017 C Sr VP, Chief Info Officer & CTO December 2017 C SR VP, CMO-UMMMC December 2017 C Sr VP, Chief HR Officer December 2017 C President, HealthAlliance-Clinton Hospital December 2017 C President, Marlborough Hospital December 2017 C President, Communty HlthLink December 2017 Form 990, Part VI, Line 19 Required documents available to the public UMASS MEMORIAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AS REQUIRED BY APPLICABLE STATE AND FEDERAL LAWS AND BY REQUEST ON A CASE BY-CASE BASIS. Form 990, Part IX, Line 11g Other Fees Temporary Services - Total Expense: 1829851, Program Service Expense: 1774566, Management and General Expenses: 55285, Fundraising Expenses: ; Transcription Services - Total Expense: 3094116, Program Service Expense: 3094116, Management and General Expenses: , Fundraising Expenses: ; Affiliate Contract Service - Total Expense: 2516536, Program Service Expense: 2288166, Management and General Expenses: 228370, Fundraising Expenses: ; Collection Fees - Total Expense: 758975, Program Service Expense: 758975, Management and General Expenses: , Fundraising Expenses: ; Billing and Coding Services - Total Expense: 4292986, Program Service Expense: 4292986, Management and General Expenses: , Fundraising Expenses: ; Purchasing Management - Total Expense: 1989618, Program Service Expense: 1989618, Management and General Expenses: , Fundraising Expenses: ; Other Professional Purchased Services - Total Expense: 25656774, Program Service Expense: 25101269, Management and General Expenses: 555505, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net assets released from restrictions for operations - 92511; Transfers (to) from related parties - -49142569; Transfers to Operations - -3348305; Change in the present value of annuity - -509947; Form 990, Part XII, Line 2c Change of oversight process or selection process THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM ON A CONSOLIDATED BASIS. THE ORGANIZATION HAS AN AUDIT COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT PUBLIC ACCOUNTING FIRM. THE PARENT IS INCLUDED IN UMASS MEMORIAL HEALTH CARE INC AND AFFILIATE'S CONSOLIDATED FINANCIAL STATEMENTS. Form 990, Part VI, Line 8a and 8b The organization documents the board and committee meetings by taking minutes, which include all meeting discussions and actions. These written minutes are then approved at the following board and committee meetings. Part VII Section A Various board titles OFFICERS: ERIC W. DICKSON, MD PRESIDENT & CEO PRESIDENT & CEO, UMASS MEMORIAL HEALTH CARE, INC. DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. SERGIO MELGAR EXEC VP, CFO TREASURER, UMASS MEMORIAL HEALTH CARE, INC. DOUGLAS S. BROWN PRESIDENT,UMMH & CAO/CLO,UMMHC SECRETARY, UMASS MEMORIAL HEALTH CARE, INC. KATHARINE BOLLAND ESHGHI SR VP, GENERAL COUNSEL-PGL ASSISTANT SECRETARY, UMASS MEMORIAL HEALTH CARE, INC. RICHARD SIEGRIST CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC. DIRECTORS: DAVID L. BENNETT DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. EDWARD J. PARRY, III DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. O. NSIDINANYA OKIKE, MD DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. TERENCE FLOTTE, MD DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. MICHAEL COLLINS, MD DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. EDWARD D'ALELIO DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. PAULETTE SEYMOUR-ROUTE, PH.D. INDEPENDENT CONTRACTOR DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. ROBERT W. FINBERG, MD CLINICAL DEPARTMENT CHAIR DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. PAUL KANGAS DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. RICHARD K. BENNETT DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. LYNDA M. YOUNG, MD PHYSICIAN DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. PETER KNOX DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. ELVIRA GUARDIOLA DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. RAYMOND PAWLICKI DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. NANCY KANE DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. LESLIE BOVENZI DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. MARK JOHNSON, MD CLINICAL DEPARTMENT CHAIR DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. MARY ELLEN MCNAMARA DIRECTOR UNTIL 3/7/18, UMASS MEMORIAL HEALTH CARE, INC. HARRIS L. MACNEILL DIRECTOR UNTIL 3/7/18, UMASS MEMORIAL HEALTH CARE, INC. JACK WILSON DIRECTOR UNTIL 3/7/18, UMASS MEMORIAL HEALTH CARE, INC. Other disclosure Notice attached An insurance company refunded a premium payment of $32,700 in error to the President and CEO/Director in calendar 2017. This was identified and corrected in calendar year 2017. For 409(A) compliance purposes, § 409A Relief Under § VI.B of Notice 2008-113 is attached to this return. UMass Memorial HealthAlliance-Clinton Hospital Inc 60 Hospital Road Leominster MA 01453 042103555 Hospital MA 501(c)(3) 3 NA true Marlborough Hospital 157 Union Street Marlborough MA 01752 042104693 Hospital MA 501(c)(3) 3 NA true Community Healthlink Inc 72 Jaques Avenue Worcester MA 01610 042626179 Health services MA 501(c)(3) 10 NA true UMass Memorial Realty Inc 306 Belmont Street Worcester MA 01604 042805630 Real estate MA 501(c)(3) 10 NA true UMass Memorial Medical Group Inc 306 Belmont Street Worcester MA 01604 042911067 Health services MA 501(c)(3) 10 NA true HealthAlliance Home Health and Hospice Inc 25 Tucker Road Leominster MA 01453 042932308 Health services MA 501(c)(3) 10 NA true Central New England HealthAlliance Inc 60 Hospital Road Leominster MA 01453 043172496 Health services MA 501(c)(3) 10 NA true Coordinated Primary Care Inc 60 Hospital Road Leominster MA 01453 043210002 Health services MA 501(c)(3) 10 NA true UMass Memorial Community Hospitals Inc 306 Belmont Street Worcester MA 01604 043296271 Health services MA 501(c)(3) 10 NA true UMass Memorial Medical Center Inc 306 Belmont Street Worcester MA 01604 043358564 Hospital MA 501(c)(3) 3 NA true UMass Memorial Behavioral Health System Inc 306 Belmont Street Worcester MA 01604 043374724 Health services MA 501(c)(3) 10 NA true UMass Memorial Health Ventures Inc 306 Belmont Street Worcester MA 01604 222605679 Health services MA 501(c)(3) 10 NA true UMass Memorial Accountable Care Organization Inc 306 Belmont Street Worcester MA 01604 462871359 Health services MA 501(c)(3) 10 NA true UMass Memorial Health Care Inc (Group Return) 306 Belmont Street Worcester MA 01604 912155626 Health services MA 501(c)(3) 3 NA true UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP ONE BIOTECH PARK 365 PLANTATION ST WORCESTER MA 01604 043530755 INVESTMENT MANAGEMENT MA NA Excluded 25796991 314492743 false 31371 true 0.6485 COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD CAPTIVE INSURANCE COMPANY CJ UMass Memorial Health Care Inc (Parent) C Corporation 148245289 1.00 true false true false false false false false false false false true true true false false true true true false UMass Memorial Medical Center Inc M 293265 Fair Value UMass Memorial Medical Group Inc M 5430674 Fair Value UMass Memorial Realty Inc K 9503853 Fair Value UMass Memorial Medical Center Inc B 2772464 Fair Value UMass Memorial Medical Group Inc B 265630 Fair Value Commonwealth Professional Assurance Company LTD M 3644992 Fair Value UMass Memorial HealthAlliance-Clinton Hospital Inc B 300000 Fair Value UMass Memorial Medical Center Inc Q 251962844 Fair Value UMass Memorial Medical Group Inc Q 87421543 Fair Value Marlborough Hospital Q 8878889 Fair Value UMass Memorial Accountable Care Organization Inc Q 791401 Fair Value UMass Memorial HealthAlliance-Clinton Hospital Inc Q 29668551 Fair Value UMass Memorial Realty Inc Q 294238 Fair Value Community HealthLink Inc Q 763273 Fair Value Commonwealth Professional Assurance Company LTD P 28509716 Fair Value UMass Memorial Medical Center Inc R 48694126 Fair Value UMass Memorial Accountable Care Organization Inc L 1452872 Fair Value HealthAlliance Home Health and Hospice Inc Q 62954 Fair Value