STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UMASS MEMORIAL HEALTH CARE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
UMASS MEMORIAL HEALTH CARE INC (EIN 91-2155626)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-03
IRS object ID
201822159349300932
Schema version
2016v3.0
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)
Return2018-08-03T15:00:25-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1175 Powder Forest DriveAddressLine1Txt
CitySimsburyCityNm
State AbbreviationCTStateAbbreviationCd
ZIP060897902ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN912155626EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UMass Memorial Health Care Inc & AffiliatesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUMASBusinessNameControlTxt
Phone5083340496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1306 Belmont StreetAddressLine1Txt
CityWorcesterCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSergio MelgarPersonNm
Person TitleEVP/CFO/TreasurerPersonTitleTxt
Signature2018-08-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRachel SpurlockPreparerPersonNm
PTINP00520729PTIN
Phone8606789200PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Sergio MelgarBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1306 Belmont StreetAddressLine1Txt
CityWorcesterCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,492,357,381GrossReceiptsAmt
Group Return For AffiliatesYes (true)GroupReturnForAffiliatesInd
All Affiliates IncludedYes (true)AllAffiliatesIncludedInd
Group Exemption3642GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.umassmemorial.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionUMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body163VotingMembersGoverningBodyCnt
Voting Members Independent87VotingMembersIndependentCnt
Total Employee14799TotalEmployeeCnt
Total Volunteers1309TotalVolunteersCnt
Total Gross UBI$6,486,541TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,423,978NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,874,385PYContributionsGrantsAmt
CY Contributions Grants$13,036,587CYContributionsGrantsAmt
PY Program Service Revenue$2,351,102,309PYProgramServiceRevenueAmt
CY Program Service Revenue$2,415,657,565CYProgramServiceRevenueAmt
PY Investment Income$6,124,340PYInvestmentIncomeAmt
CY Investment Income$16,948,021CYInvestmentIncomeAmt
PY Other Revenue$9,584,610PYOtherRevenueAmt
CY Other Revenue$8,957,306CYOtherRevenueAmt
PY Total Revenue$2,380,685,644PYTotalRevenueAmt
CY Total Revenue$2,454,599,479CYTotalRevenueAmt
PY Grants And Similar Paid$2,312,920PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,148,896CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,221,720,336PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,264,578,152CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$64,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$7,396CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$716,253CYTotalFundraisingExpenseAmt
PY Other Expenses$1,117,155,900PYOtherExpensesAmt
CY Other Expenses$1,177,407,890CYOtherExpensesAmt
PY Total Expenses$2,341,253,156PYTotalExpensesAmt
CY Total Expenses$2,444,142,334CYTotalExpensesAmt
PY Revenues Less Expenses$39,432,488PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,457,145CYRevenuesLessExpensesAmt
Total Assets BOY$1,818,569,543TotalAssetsBOYAmt
Total Assets EOY$1,879,641,685TotalAssetsEOYAmt
Total Liabilities BOY$1,256,756,697TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,358,506,029TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$561,812,846NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$521,135,656NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionUMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,353,749,140ExpenseAmt
Grant$2,088,996GrantAmt
Revenue$1,638,919,741RevenueAmt
DescUMASS MEMORIAL MEDICAL CENTER UMASS MEMORIAL MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. UMASS MEMORIAL MEDICAL CENTER DOES THIS BY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY. FY 2017 KEY STATISTICS - TOTAL DISCHARGES: 37,701 TOTAL SURGICAL CASES: 29,040 TOTAL ER VISITS: 134,564Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$487,978,779ExpenseAmt
Grant$22,500GrantAmt
Revenue$388,886,624RevenueAmt
DescUMASS MEMORIAL MEDICAL GROUP THE UMASS MEMORIAL MEDICAL GROUP IS A MULTISPECIALTY GROUP PRACTICE OF PHYSICIANS WHOSE MISSION AND PURPOSE IS TO SUPPORT THE CLINICAL, EDUCATIONAL, RESEARCH AND COMMUNITY SERVICE MISSIONS OF UMASS MEMORIAL HEALTH CARE AND UMASS MEMORIAL MEDICAL CENTER. UMASS MEMORIAL MEDICAL GROUP ACCOMPLISHES THIS MISSION BY PROVIDING MEDICAL CARE TO RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$226,892,867ExpenseAmt
Grant$9,400GrantAmt
Revenue$285,701,918RevenueAmt
DescUMASS MEMORIAL COMMUNITY HOSPITALS THE UMASS MEMORIAL COMMUNITY HOSPITALS (CLINTON HOSPITAL, HEALTH ALLIANCE HOSPITALS, INC., MARLBOROUGH HOSPITAL) ARE COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF THE COMMUNITIES THAT THEY SERVE THROUGH EXCELLENCE IN CLINICAL CARE AND SERVICE. EACH OF THESE HOSPITALS ACCOMPLISHES THIS GOAL BY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE RESIDENTS OF THEIR COMMUNITIES WITHOUT REGARD TO THEIR ABILITY TO PAY. FY 2017 KEY STATISTICS - TOTAL DISCHARGES: 12,002 TOTAL SURGICAL CASES: 7,597 TOTAL ER VISITS: 87,997Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$81,677,287ExpenseAmt
Grant$28,000GrantAmt
Revenue$97,430,084RevenueAmt
DescOTHER UMASS MEMORIAL ENTITIES - UMASS MEMORIAL HAS A NUMBER OF SUBSIDIARY ENTITIES THAT FUNCTION PRIMARILY TO DELIVER HEALTH CARE TO PATIENTS OR TO SUPPORT THE DELIVERY OF HEALTH CARE TO PATIENTS OF UMASS MEMORIAL. THEY ACCOMPLISH THIS THROUGH THE DELIVERY OF HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THEY ALSO ACCOMPLISH THIS BY PROVIDING SUPPORT, OR PATIENT ADVOCACY SERVICES TO THE PATIENTS OF UMASS MEMORIAL, CENTRAL NEW ENGLAND, AND OTHER GEOGRAPHIES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$81,677,287TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$28,000TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$97,430,084TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,150,298,073TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1551IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee14799EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members163GoverningBodyVotingMembersCnt
Independent Voting Member87IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Robert FeldmannBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5083340496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1306 Belmont StreetAddressLine1Txt
CityWorcesterCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01604ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (128 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
John Bronhard
Treasurer, HealthAlliance Hospitals, Inc., Officer/Dir various40.00Yes (X)Yes (X)$327,123$0$31,084
Douglas S Brown
Secretary, UMM Health Care, Inc., Officer/Dir various5.040.0Yes (X)Yes (X)$0$830,984$205,231
Lisa Colombo
President, Clinton Hospital Assoc., Director of Comm Hospitals Inc.40.05.0Yes (X)Yes (X)$303,633$0$42,536
Eric W Dickson MD
President & CEO/Director, UMM Health Care, Inc., Director various5.040.0Yes (X)Yes (X)$0$1,629,026$383,400
John Greenwood
President/Director, UMM Accountable Care Organization, Inc.40.05.0Yes (X)Yes (X)$404,650$0$105,818
Cheryl M Lapriore
President/Director, UMM Health Ventures, Inc., Director various5.040.0Yes (X)Yes (X)$0$421,491$116,074
Sergio Melgar
Treasurer, UMM Health Care, Inc., Officer/Dir various5.040.0Yes (X)Yes (X)$0$1,004,137$176,146
Patrick Muldoon
President, UMM Med Ctr, Inc., Director various40.05.0Yes (X)Yes (X)$1,180,497$0$284,407
Steven Roach
President, Marlborough Hospital, Director various40.05.0Yes (X)Yes (X)$511,191$0$85,728
Dana E Swenson
President/Director, UMM Realty, Inc.5.040.0Yes (X)Yes (X)$0$340,197$87,241
Stephen E Tosi MD
President, UMM Med Group, Inc., Director various40.05.0Yes (X)Yes (X)$1,123,413$0$109,723
Deborah Weymouth
President, HealthAlliance Hospitals, Inc., Director various40.05.0Yes (X)Yes (X)$519,897$0$102,798
Lynda M Young MD
Director, UMM Health Care, Inc. Chairperson, UMM Med Group, Inc.1.01.0Yes (X)Yes (X)$35,490$0$0
Douglas Ziedonis MD
President, UMM Behavioral Health System, Inc. until 3/8/17, Director various20.00Yes (X)Yes (X)$264,052$0$42,197
Richard K Bennett
Director, UMM Health Care, Inc., Chair Marlborough Hosp., Director various1.01.0Yes (X)Yes (X)$0$0$0
Leslie Bovenzi
Chairperson, HealthAlliance Home Health & Hospice, Inc., Director various1.00Yes (X)Yes (X)$0$0$0
Fernando Catalina MD
Chairperson, HealthAlliance Hospitals, Inc., Director various1.00Yes (X)Yes (X)$0$0$0
Paul D'Onfro
Vice Chairperson, HealthAlliance Hospitals, Inc., Director various1.00Yes (X)Yes (X)$0$0$0
Paul Kangas
Director, UMM Health Care, Inc., Chair, UMM Health Ventures, Inc., Director various1.01.0Yes (X)Yes (X)$0$0$0
William McGrail Esquire
Chairperson, Clinton Hospital Assoc., Director, UMM Community Hospitals, Inc.1.00Yes (X)Yes (X)$0$0$0
Michael D Murphy
Vice Chairperson, Marlborough Hospital, Director various1.00Yes (X)Yes (X)$0$0$0
Richard Siegrist
Chairperson, UMM Health Care, Inc., Director various1.01.0Yes (X)Yes (X)$0$0$0
Howard Alfred MD
Director, UMM Accountable Care Organization, Inc.37.00Yes (X)$239,478$0$32,814
Peter Bagley MD
Director, UMM Accountable Care Organization, Inc.27.00Yes (X)$439,863$0$74,247
Alan P Brown MD
Director, UMM Behavioral Health System, Inc.31.00Yes (X)$203,767$0$35,681
William Corbett MD
Director, Marlborough Hospital, Director various40.05.0Yes (X)$565,034$0$169,193
Therese Day
Director, UMM Health Ventures, Inc.40.05.0Yes (X)$433,356$0$125,426
Jordan Eisenstock MD
Director, UMM Accountable Care Organization, Inc.40.00Yes (X)$58,707$0$2,793
Kimberly Eisenstock MD
Director, Marlborough Hospital40.00Yes (X)$269,047$0$38,246
R Kevin Ferguson MD
Director, UMM Med Group, Inc.40.00Yes (X)$246,695$0$37,280
Robert W Finberg MD
Director, UMM Health Care, Inc.20.05.0Yes (X)$406,410$0$70,634
David Harlan MD
Director, UMM Accountable Care Organization, Inc.20.00Yes (X)$178,724$0$34,949
Kathryn Kennedy MD
Director, UMM Med Group, Inc.36.00Yes (X)$285,548$0$41,939
Daniel H Lasser MD
Director, UMM Med Group, Inc.20.00Yes (X)$280,652$0$70,334
Shipen Li MD
Director, HealthAlliance Hospitals, Inc.40.00Yes (X)$305,061$0$38,173
Jeffrey N Metzmaker MD
Director, UMM Med Group, Inc.29.00Yes (X)$463,803$0$39,669
Dominic Nompleggi MD
Director, UMM Med Group, Inc.29.00Yes (X)$317,334$0$44,257
O Nsidinanya Okike MD
Director, UMM Health Care, Inc.40.05.0Yes (X)$124,891$0$2,463
Daniel O'Leary MD
Director, Coordinated Primary Care, Inc.25.00Yes (X)$250,563$0$10,112
Chris Philbin
Director, UMM Comm Hospitals, Inc., Clinton Hospital Assoc.5.040.0Yes (X)$0$290,473$60,059
Catherine Rossi
Director, Clinton Hospital Association5.040.0Yes (X)$0$249,341$76,328
Paulette Seymour-Route PhD
Director, UMM Health Care, Inc.1.01.0Yes (X)$44,000$0$0
Habib A Sioufi MD
Director, Clinton Hospital Association40.00Yes (X)$95,559$0$28,811
Gail Allen
Director, HealthAlliance Hospitals, Inc., Director various1.00Yes (X)$0$0$0
Michael W Ames
Director, Clinton Hospital Association1.00Yes (X)$0$0$0
Sheldon Benjamin MD
Director, UMM Behavioral Health System, Inc. & CHL1.00Yes (X)$0$0$0
David L Bennett
Director, UMM Health Care, Inc., UMM Med Center, Inc.1.01.0Yes (X)$0$0$0
Daniel Carlucci MD
Director, Marlborough Hospital1.00Yes (X)$0$0$0
John Clementi
Director, HealthAlliance Hospitals, Inc., Director various1.00Yes (X)$0$0$0
Michael Collins MD
Director, UMM Health Care, Inc., UMM Med Center, Inc.1.01.0Yes (X)$0$0$0
Benjamin H Colonero Jr
Director, Marlborough Hospital1.00Yes (X)$0$0$0
Edward J Connor
Director, Clinton Hospital Association1.00Yes (X)$0$0$0
Frederick G Crocker
Director, UMM Health Ventures, Inc.1.00Yes (X)$0$0$0
J Christopher Cutler FACHE
Director, UMM Medical Group, Inc.1.00Yes (X)$0$0$0
Edward D'Alelio
Director, UMM Health Care, Inc., UMM Med Center, Inc.1.01.0Yes (X)$0$0$0
Dix F Davis
Director, UMM Realty, Inc., Director various1.00Yes (X)$0$0$0
Robert Farragher
Director, Clinton Hospital Association1.00Yes (X)$0$0$0
Lynne Farrell
Director, HealthAlliance Home Health and Hospice, Inc.1.00Yes (X)$0$0$0
William Fischer
Director, Marlborough Hospital1.00Yes (X)$0$0$0
Terence Flotte MD
Director, UMM Health Care, Inc., Director various1.01.0Yes (X)$0$0$0
Amy Grassette
Director, UMM Behavioral Health System, Inc. & CHL1.00Yes (X)$0$0$0
Elvira Guardiola
Director, UMM Health Care, Inc., UMM Med Center, Inc.1.01.0Yes (X)$0$0$0
Christie Hager
Director, HealthAlliance Hospitals, Inc. & CNEHA, Inc.1.00Yes (X)$0$0$0
Francis Hurley
Director, Marlborough Hospital1.00Yes (X)$0$0$0
Joanne Johnson
Director, UMM Behavioral Health System, Inc. & CHL1.00Yes (X)$0$0$0
Peter Knox
Director, UMM Health Care, Inc., UMM Med Center, Inc.1.01.0Yes (X)$0$0$0
Barbara Kupfer
Director, UMM Accountable Care Organization, Inc.1.00Yes (X)$0$0$0
Harris L MacNeill
Director, UMM Health Care, Inc., Director various1.01.0Yes (X)$0$0$0
Michael Mahan
Director, HealthAlliance Hospitals, Inc. & CNEHA, Inc.1.00Yes (X)$0$0$0
Edward Manzi
Director, UMM Behavioral Health System, Inc.1.00Yes (X)$0$0$0
Donata Martin
Director, HealthAlliance Hospitals, Inc. & CNEHA, Inc.1.00Yes (X)$0$0$0
Luis J Maseda
Director, Clinton Hospital Association1.00Yes (X)$0$0$0
Lalita Matta MD
Director, UMM Accountable Care Organization, Inc.1.00Yes (X)$0$0$0
Jessica McGarry
Director, UMM Behavioral Health System, Inc. & CHL1.00Yes (X)$0$0$0
Antonia McGuire
Director, UMM Accountable Care Organization, Inc.1.00Yes (X)$0$0$0
Cynthia M McMullen EdD
Director, UMM Behavioral Health System, Inc.1.00Yes (X)$0$0$0
Mary Ellen McNamara
Director, UMM Health Care, Inc., Director various1.01.0Yes (X)$0$0$0
Anthony J Mercadante
Director, HealthAlliance Home Health and Hospice, Inc.1.00Yes (X)$0$0$0
Nicholas Mercadante MD
Director, HealthAlliance Hospitals, Inc. & CNEHA, Inc.1.00Yes (X)$0$0$0
Ann K Molloy
Director, Marlborough Hospital1.00Yes (X)$0$0$0
Jim Notaro
Director, UMM Behavioral Health System, Inc. & CHL1.00Yes (X)$0$0$0
Edward J Parry III
Director, UMM Health Care, Inc., UMM Med Center, Inc.1.01.0Yes (X)$0$0$0
Robert J Paulhus Jr
Director, Clinton Hospital Association1.00Yes (X)$0$0$0
Jeanne Paulino
Director, Clinton Hospital Association1.00Yes (X)$0$0$0
Raymond Pawlicki
Director, UMM Health Care, Inc., UMM Med Center, Inc.1.01.0Yes (X)$0$0$0
Michael Pici MD
Director, UMM Accountable Care Organization, Inc.1.00Yes (X)$0$0$0
Philip E Purcell
Director, Marlborough Hospital1.00Yes (X)$0$0$0
Gerard P Richer
Director, Marlborough Hospital, UMM Health Ventures, Inc.1.00Yes (X)$0$0$0
Michael Rivard
Director, HealthAlliance Hospitals, Inc., Director various1.00Yes (X)$0$0$0
Vibha Sharma MD
Director, Marlborough Hospital1.00Yes (X)$0$0$0
John Shea Esquire
Director, UMM Behavioral Health System, Inc. & CHL1.00Yes (X)$0$0$0
Robert Leslie Shelton MD
Director, HealthAlliance Hospitals, Inc. & CNEHA, Inc.1.00Yes (X)$0$0$0
David Walton
Director, Marlborough Hospital1.00Yes (X)$0$0$0
Mary Whitney
Director, HealthAlliance Hospitals, Inc., Director various1.00Yes (X)$0$0$0
Jack Wilson
Director, UMM Health Care, Inc., UMM Med Center, Inc.1.01.0Yes (X)$0$0$0
Katharine Bolland Eshghi
Assistant Secretary, UMM Health Care, Inc.5.040.0Yes (X)$0$497,740$101,959
Maureen Croteau
Assistant Clerk, Clinton Hospital Assoc.40.00Yes (X)$56,801$0$23,689
Ann-Maria D'Ambra
Assistant Secretary, Marlborough Hospital40.00Yes (X)$52,982$0$24,459
Nicole Gagne
President, Community HealthLink, Inc.40.05.0Yes (X)$254,460$0$37,598
John Glassburn
Secretary, UMM Community Hospitals, Inc.5.040.0Yes (X)$0$191,789$36,204
Steven McCue
Treasurer, Marlborough Hospital40.00Yes (X)$229,979$0$22,294
Lynn A Morin
Assistant Clerk, HealthAlliance Hospitals, Inc. Officer various40.00Yes (X)$92,070$0$7,556
William O'Brien
Secretary, UMBHS, Inc.5.040.0Yes (X)$0$134,764$44,287
Jeffrey Olson
Treasurer, Clinton Hospital Assoc.40.00Yes (X)$168,002$0$47,247
Jeanne Shirshac
Treasurer, UMM Accountable Care Organization, Inc.5.040.0Yes (X)$0$279,956$71,666
Francis W Smith
Secretary, UMM Medical Group, Inc., Officer various5.040.0Yes (X)$0$222,475$53,808
Michele Streeter
Treasurer, UMM Med Group, Inc.40.05.0Yes (X)$612,883$0$161,065
James P Cyr
Sr. VP, Operations (UMMMC)40.05.0$374,220$0$110,146Yes (X)
Robert Feldmann
VP, Corporate Controller5.040.0$0$444,379$111,185Yes (X)
Barbara Fisher
Sr VP, Operations (UMMMC)40.05.0$392,411$0$120,435Yes (X)
Cathy Jewell
Sr VP, Chief Nursing Officer until 1/31/1740.05.0$595,855$0$146,133Yes (X)
Bart Metzger
Sr VP, Chief HR Officer5.040.0$0$519,752$79,741Yes (X)
John T Randolph
VP, Chief Corporate Compliance5.040.0$0$324,430$96,493Yes (X)
Alice Shakman
Sr. VP, Operations (UMMMC)40.05.0$394,360$0$97,379Yes (X)
Jeffrey A Smith MD
Executive VP, COO40.05.0$720,189$0$89,318Yes (X)
Timothy Tarnowski
Sr VP, Chief Info Officer5.040.0$0$621,048$128,115Yes (X)
Jennifer Walker MD
Physician, Division Chief of Cardiac Surgery - Med Group30.00$881,707$0$41,545Yes (X)
Demetrius Litwin MD
Physician, Chair of Surgery Dept - Med Group28.00$808,129$0$42,381Yes (X)
Adel Bozorgzadeh MD
Physician, Chief of Organ Transplantation - Med Group32.00$735,572$0$42,197Yes (X)
David C Ayers MD
Physician, Chair of Orthopedics and Physical Rehab - Med Group33.00$678,723$0$41,306Yes (X)
Ajit S Puri MD
Physician, Division Chief of Neuroimaging and Intervention - Med Group40.00$638,296$0$37,793Yes (X)
Patricia George
VP & Deputy CIO, until 11/1500$0$326,488$16,959Yes (X)
Margaret Hudlin MD
CMO/VP Perioperative Svcs, until 9/1/1600$887,564$0$17,758Yes (X)
Robert Klugman MD
Former Chief Quality Officer, until 9/30/1300$792,120$0$0Yes (X)
Andrew Cocchiarella MD
Director until 3/16, Marlborough Hospital40.00$30,238$0$1,996Yes (X)
Carlos Iitsuka
Director until 7/16, UMM Health Ventures, Inc.00$0$402,254$51,161Yes (X)
Sheila Daly
President until 1/16, Clinton Hospital Association, Director Comm Hospitals Inc.00$219,668$0$53,035Yes (X)
Todd Keating
Treasurer until 2/14, UMass Memorial Health Care, Inc. and Director of other boards00$0$17,808$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$19,494,662TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,748,535TotReportableCompRltdOrgAmt
Total Other Compensation$4,762,698TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2779IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ERNST & YOUNG LLP
PO BOX 640382PITTSBURGHPA15264ADVISORY SERVICES$14,241,829
Quest Diagnostics Inc
PO Box 51048Los AngelesCA90074Laboratory Services$9,680,872
CROTHALL HLTHCARE INC
13028 COLLECTION CENTER DRIVECHICAGOIL60693LINEN MANAGEMENT SERVICES$8,959,739
Epic Systems Corp
PO Box 88314MilwaukeeWI532880314Consulting Services$8,413,373
TEKSYSTEMS
PO BOX 198568ATLANTAGA303848568IS Consulting Services$8,149,762
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K249CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Fundraising$283,468FundraisingAmt
Related Organizations$773,633RelatedOrganizationsAmt
Government Grants$10,273,227GovernmentGrantsAmt
All Other Contributions$1,706,259AllOtherContributionsAmt
Noncash Contributions$36,939NoncashContributionsAmt
Total Contributions$13,036,587TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE622110$2,120,833,419$2,120,833,419
Transitional payments622110$26,827,446$26,827,446
SPECIAL MEDICAID PAYMENTS622110$207,478,083$207,478,083
AFFILIATE RELATED PROGRAMS622110$15,281,715$15,281,715
OTHER PSR & JV income622110$45,236,902$40,426,053$4,810,849

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,415,657,565TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,420,379TotalRevenueColumnAmt
Unrelated Business Revenue$3,573UnrelatedBusinessRevenueAmt
Exclusion$16,416,806ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,555,427RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,580,692RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$974,735RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$974,735TotalRevenueColumnAmt
Exclusion$974,735ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$34,446,876SecuritiesAmt
Other$1,988,180OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$34,192,736SecuritiesAmt
Other$1,714,678OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$254,140SecuritiesAmt
Other$273,502OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$527,642TotalRevenueColumnAmt
Exclusion$527,642ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$254,076FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$283,468ContriRptFundraisingEventAmt
Fundraising Direct Expenses$269,796FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$15,720TotalRevenueColumnAmt
Exclusion-$15,720ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Lab services621500$1,672,119$1,672,119
Cafeteria income722514$6,230,708$6,230,708
Other income900099$93,726$3,788$89,938

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,738TotalRevenueColumnAmt
Related Or Exempt Func Income$1,713RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$25ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,998,291OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,454,599,479TotalRevenueColumnAmt
Related Or Exempt Func Income$2,410,938,367RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,486,541UnrelatedBusinessRevenueAmt
Exclusion$24,137,984ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,116,496TotalAmt
Program Services$2,116,496ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$32,400TotalAmt
Program Services$32,400ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$16,909,266TotalAmt
Program Services$10,731,866ProgramServicesAmt
Management And General$6,177,400ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$617,226TotalAmt
Program Services$585,629ProgramServicesAmt
Management And General$31,597ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$963,465,633TotalAmt
Program Services$834,079,159ProgramServicesAmt
Management And General$129,022,335ManagementAndGeneralAmt
Fundraising$364,139FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$79,237,737TotalAmt
Program Services$68,337,090ProgramServicesAmt
Management And General$10,896,906ManagementAndGeneralAmt
Fundraising$3,741FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$137,655,618TotalAmt
Program Services$114,914,698ProgramServicesAmt
Management And General$22,720,495ManagementAndGeneralAmt
Fundraising$20,425FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$66,692,672TotalAmt
Program Services$57,023,715ProgramServicesAmt
Management And General$9,656,249ManagementAndGeneralAmt
Fundraising$12,708FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$27,806,410TotalAmt
Program Services$27,228,794ProgramServicesAmt
Management And General$577,589ManagementAndGeneralAmt
Fundraising$27FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$604,259TotalAmt
Program Services$42,877ProgramServicesAmt
Management And General$561,382ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$117,350TotalAmt
Program Services$6,741ProgramServicesAmt
Management And General$110,609ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$185,447TotalAmt
Program Services$185,447ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$7,396TotalAmt
Fundraising$7,396FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$537,461TotalAmt
Program Services$18,155ProgramServicesAmt
Management And General$519,306ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$345,449,992TotalAmt
Program Services$332,509,156ProgramServicesAmt
Management And General$12,838,095ManagementAndGeneralAmt
Fundraising$102,741FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$417,790TotalAmt
Program Services$160,760ProgramServicesAmt
Management And General$248,062ManagementAndGeneralAmt
Fundraising$8,968FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,143,562TotalAmt
Program Services$15,480,555ProgramServicesAmt
Management And General$4,626,379ManagementAndGeneralAmt
Fundraising$36,628FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,960,190TotalAmt
Program Services$3,690,660ProgramServicesAmt
Management And General$1,269,530ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$58,641,482TotalAmt
Program Services$55,602,310ProgramServicesAmt
Management And General$3,039,172ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,884,365TotalAmt
Program Services$1,808,767ProgramServicesAmt
Management And General$74,538ManagementAndGeneralAmt
Fundraising$1,060FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,360,533TotalAmt
Program Services$1,107,950ProgramServicesAmt
Management And General$249,733ManagementAndGeneralAmt
Fundraising$2,850FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,131,363TotalAmt
Program Services$10,013,305ProgramServicesAmt
Management And General$118,058ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$106,480,705TotalAmt
Program Services$102,000,772ProgramServicesAmt
Management And General$4,479,933ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$29,972,083TotalAmt
Program Services$28,833,589ProgramServicesAmt
Management And General$1,138,494ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical supplies$293,455,556$293,448,744$6,812
System overhead activities$210,731,883$132,393,598$78,338,285
Purchased Services$40,165,262$39,223,379$912,216$29,667
Other direct expenses$1,898,003$1,792,450$87,563$17,990

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$22,464,194TotalAmt
Program Services$16,929,011ProgramServicesAmt
Management And General$5,427,270ManagementAndGeneralAmt
Fundraising$107,913FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,444,142,334TotalAmt
Program Services$2,150,298,073ProgramServicesAmt
Management And General$293,128,008ManagementAndGeneralAmt
Fundraising$716,253FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$191,489,188BOYAmt
EOY$105,661,129EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$63,766,485BOYAmt
EOY$78,607,060EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$287,699BOYAmt
EOY$120,256EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$233,620,773BOYAmt
EOY$252,782,227EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$708,634BOYAmt
EOY$82,916EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$33,651,047BOYAmt
EOY$37,143,264EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,196,362BOYAmt
EOY$10,267,396EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,778,797,713LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,115,203,292LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$614,014,016BOYAmt
EOY$663,594,421EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$106,919,586BOYAmt
EOY$95,110,890EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$247,650,026BOYAmt
EOY$368,847,417EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$77,551,505BOYAmt
EOY$16,696,196EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$238,714,222BOYAmt
EOY$250,728,513EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,818,569,543BOYAmt
EOY$1,879,641,685EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$262,689,839BOYAmt
EOY$267,005,994EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$1,009,563BOYAmt
EOY$302,652EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,501,757BOYAmt
EOY$17,082,579EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$375,930,725BOYAmt
EOY$508,568,686EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$14,680BOYAmt
EOY$12,747EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,003,466BOYAmt
EOY$5,051,890EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$55,000,000BOYAmt
EOY$55,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$547,606,667BOYAmt
EOY$505,481,481EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,256,756,697BOYAmt
EOY$1,358,506,029EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$463,903,452BOYAmt
EOY$426,953,191EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$43,180,568BOYAmt
EOY$41,491,352EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$54,728,826BOYAmt
EOY$52,691,113EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$561,812,846BOYAmt
EOY$521,135,656EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,818,569,543BOYAmt
EOY$1,879,641,685EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,457,145ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,082,064NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$59,216,399OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$185,447OtherActivitiesAmt
Total Lobbying Expenditures$185,447TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYAmounts represent amounts of membership dues paid to various associations that are attributable to lobbying activities.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYAmounts represent amounts of membership dues paid to various associations that are attributable to lobbying activities.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$78,913,132BeginningYearBalanceAmt
Contributions$3,536,295ContributionsAmt
Investment Earnings Or Losses$3,401,567InvestmentEarningsOrLossesAmt
Other Expenditures$4,590,046OtherExpendituresAmt
End Year Balance$81,260,948EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$117,475,856BeginningYearBalanceAmt
Contributions$174,883ContributionsAmt
Investment Earnings Or Losses$5,899,351InvestmentEarningsOrLossesAmt
Other Expenditures$44,636,958OtherExpendituresAmt
End Year Balance$78,913,132EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$115,101,660BeginningYearBalanceAmt
Contributions$5,757,118ContributionsAmt
Investment Earnings Or Losses-$2,182,362InvestmentEarningsOrLossesAmt
Other Expenditures$1,200,560OtherExpendituresAmt
End Year Balance$117,475,856EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$112,462,194BeginningYearBalanceAmt
Investment Earnings Or Losses$9,419,969InvestmentEarningsOrLossesAmt
Other Expenditures$4,425,190OtherExpendituresAmt
Administrative Expenses$2,355,313AdministrativeExpensesAmt
End Year Balance$115,101,660EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$109,418,023BeginningYearBalanceAmt
Investment Earnings Or Losses$8,142,465InvestmentEarningsOrLossesAmt
Other Expenditures$5,098,294OtherExpendituresAmt
End Year Balance$112,462,194EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.65PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.35TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,811,599OtherCostOrOtherBasisAmt
Book Value$8,811,599BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$847,706,499OtherCostOrOtherBasisAmt
Depreciation$515,165,409DepreciationAmt
Book Value$332,541,090BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,923,728OtherCostOrOtherBasisAmt
Depreciation$13,917,643DepreciationAmt
Book Value$20,006,085BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$836,332,042OtherCostOrOtherBasisAmt
Depreciation$582,057,327DepreciationAmt
Book Value$254,274,715BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,023,845OtherCostOrOtherBasisAmt
Depreciation$4,062,913DepreciationAmt
Book Value$47,960,932BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$663,594,421TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (7 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
BENEFICIAL INTEREST IN TRUSTS$67,411,018F
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
BIO VENTURES
UNITS IN INVESTMENT PARTNERSHIP$236,497,442F
OTHER
INVESTMENT IN QUEST DIAGNOSTICS$63,461,562F
INVESTMENT IN SHIELDS PHARMACY HOLDINGS$1,477,395F
FieldValueIRS element (for citing)
Total Book Value Securities$368,847,417TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED PARTIES$299,477
MALPRACTICE TAIL COVERAGE$33,321,834
LONG TERM SECURITY DEPOSITS$15,722
OTHER NON-CURRENT ASSETS$33,943
RECEIVABLE FROM MEDICAID$211,883,862
CASH SECURITY$12,747
DEFERRED TAX ASSET
DUE FROM THIRD PARTIES
CASH SURRENDER VALUE OF LIFE INSURANCE$5,160,928
FieldValueIRS element (for citing)
Total Book Value Other Assets$250,728,513TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (14 entries)

DescDescAmtAmt
DUE TO UMASS MEDICAL SCHOOL$148,431,314
THIRD PARTY LIABILITIES$56,879,977
DUE TO RELATED PARTIES$42,425,130
ACCRUED PENSION POST RETIREMENT BENEFITS$213,816,377
O/S LOSS RESERVES
ESTIMATED MALPRACTICE COSTS$33,615,784
OTHER$143,929
ANNUITY PAYABLE
LT LIABILITY ARO$9,206,944
ACCRUED LT LIABILITIES$842,901
CLAIMS RESERVE$89,125
MEDICARE RESERVES$30,000
NOTE PAYABLE TO AFFILIATES (MC AND UMBHS)
OTHER LOSS RESERVE
FieldValueIRS element (for citing)
Total Liability$505,481,481TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 3a(i) Sch d, part v, line 3a(i)HEALTHALLIANCE HOSPITAL - YES BANK OF AMERICA MERRILL LYNCH HOLDS THE BERNARD W DOYLE TRUST FOR HEALTHALLIANCE HOSPITAL. DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE HOSPITAL . BANK OF AMERICA MERRILL LYNCH IS AN UNRELATED ORGANIZATION. BNY MELLON WEALTH MANAGEMENT HOLDS THE FOLLOWING TRUSTS FOR HEALTHALLIANCE HOSPITAL: TRUST U/WILL PART 11 WILLIAM H CROPPER TRUST U/WILL PART 15 WILLIAM H CROPPER TRUST U/WILL PART 18 WILLIAM H CROPPER TRUST UNDER 2ND CODICIL OF WILL OF WILLIAM H CROPPER TRUST UNDER 4TH CODICIL WILLIAM H CROPPER DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE HOSPITAL. BNY MELLON WEALTH MANAGEMENT IS AN UNRELATED ORGANIZATION.
Schedule D, Part V Endowment FundsMedical Center - The Medical Center's endowment funds are the beneficial interest in the funds held by a related organization, UMass Memorial Health Care, Inc. (Parent EIN 04-3358566). 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 V, Line 3a(i) Sch d, part v, line 3a(i)Clinton Hospital - Bank of America Private Wealth Management holds the Miriam Shaw Trust for Clinton Hospital Distributions are paid to Clinton Hospital. Bank of America Private Wealth Management is an unrelated organization. Bank of America Corporation holds the following Trusts for Clinton Hospital: George Henry May Trust- Article Fourth (8) Trust U/Will Elizabeth L. Rowan Christine L Beck Trust Distributions are paid to Clinton Hospital. Bank of America Corporation is an unrelated organization.
Schedule D, Part IV, Line 2b Explanation of escrow agreementTenant security deposits of $12,747 for UMass Memorial Realty, Inc. These will be returned once the tenant vacates the property.
Schedule D, Part V, Line 4 Intended uses of endowment fundsThe intended uses of the organization's endowment funds include health care services, research, medical education, charity care, and capital spending.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe 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 business income. Certain affiliates are taxable entities. The measurement of the amounts recorded as a provision for income taxes based upon the aforementioned approach was $315,000 and $301,000 for the years ended September 30, 2017 and 2016, respectively, and is recorded as part of supplies and other expense in the accompanying consolidated statements of operations. Certain affiliates have federal and state income tax net operating loss ("NOL") carryforwards related to its discontinued laboratory outreach business. For the year ended September 30, 2017, federal and state NOL carryforwards were $26,992,000. Such NOL carryforwards expire from 2020 to 2035. It is more likely than not that the income tax benefits will not be realized. The System does not believe it has any significant uncertain tax positions.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CNEHA Golf TournamentEvent1Nm
Gross Receipts Event1$281,172GrossReceiptsEvent1Amt
Charitable Contri Event1$132,477CharitableContriEvent1Amt
Gross Revenue Event1$148,695GrossRevenueEvent1Amt
Non Cash Prizes Event1$21,925NonCashPrizesEvent1Amt
Rent Facility Costs Event1$47,341RentFacilityCostsEvent1Amt
Food And Beverage Event1$48,490FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$30,939OtherDirectExpensesEvent1Amt
Event2Marlboro Golf TournamentEvent2Nm
Gross Receipts Event2$94,012GrossReceiptsEvent2Amt
Charitable Contri Event2$43,154CharitableContriEvent2Amt
Gross Revenue Event2$50,858GrossRevenueEvent2Amt
Non Cash Prizes Event2$7,248NonCashPrizesEvent2Amt
Rent Facility Costs Event2$16,907RentFacilityCostsEvent2Amt
Food And Beverage Event2$17,708FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$8,995OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$158,360GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$103,837CharitableContriOtherEventsAmt
Gross Revenue Other Events$54,523GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$8,059NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$20,846RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$24,455FoodAndBeverageOtherEventsAmt
Entertainment Other Events$3,967EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$12,916OthDirectExpnssOtherEventsAmt
Gross Receipts Total$533,544GrossReceiptsTotalAmt
Charitable Contributions Tot$279,468CharitableContributionsTotAmt
Gross Revenue Total Events$254,076GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$37,232NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$85,094RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$90,653FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,967EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$52,850OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$269,796DirectExpenseSummaryEventsAmt
Net Income Summary-$15,720NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,236,667TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,741,474DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,495,193NetCommunityBenefitExpnsAmt
Total Expense0.0064TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$386,556,879TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$344,249,564DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,307,315NetCommunityBenefitExpnsAmt
Total Expense0.0217TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,224,257TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,224,257DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$437,017,803TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$382,215,295DirectOffsettingRevenueAmt
Net Community Benefit Expns$54,802,508NetCommunityBenefitExpnsAmt
Total Expense0.0281TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,344,967TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,614,831DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,730,136NetCommunityBenefitExpnsAmt
Total Expense0.0009TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$226,973,043TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$133,907,163DirectOffsettingRevenueAmt
Net Community Benefit Expns$93,065,880NetCommunityBenefitExpnsAmt
Total Expense0.0478TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$88,187,450TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$69,986,010DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,201,440NetCommunityBenefitExpnsAmt
Total Expense0.0093TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$153,168TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,850DirectOffsettingRevenueAmt
Net Community Benefit Expns$103,318NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,275,640TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,275,640DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$321,934,268TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$208,833,494DirectOffsettingRevenueAmt
Net Community Benefit Expns$113,100,774NetCommunityBenefitExpnsAmt
Total Expense0.0581TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$758,952,071TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$591,048,789DirectOffsettingRevenueAmt
Net Community Benefit Expns$167,903,282NetCommunityBenefitExpnsAmt
Total Expense0.0862TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,641TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,641NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,994TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,994NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,944TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,944NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,215TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,215NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,453TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$69,453NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$96,247TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$96,247NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$44,461,000BadDebtExpenseAmt
Bad Debt Expense Attributable$2,158,840BadDebtExpenseAttributableAmt
Reimbursed By Medicare$378,034,017ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$428,184,862CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$50,150,845MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsInd
UMASS MEMORIAL MEDICAL CENTER INC
155 LAKE AVE 119 BELMONT STREETWORCESTERMA01605www.umassmemorialhealthcare.org2124, 2841Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
HEALTHALLIANCE HOSPITAL INC
260 HOSPITAL ROADLEOMINSTERMA01453www.umassmemorialhealthcare.org/healthalliance-hospital2127Yes (X)Yes (X)Yes (X)Yes (X)
MARLBOROUGH HOSPITAL
3157 UNION STREETMARLBOROUGHMA01752www.umassmemorialhealthcare.org/marlborough-hospital2103Yes (X)Yes (X)Yes (X)Yes (X)
CLINTON HOSPITAL ASSOCIATION
4201 HIGHLAND STREETCLINTONMA01510www.umassmemorialhealthcare.org/clinton-hospital2126Yes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndOtherOtherIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
UMASS MEMORIAL MEDICAL CENTER INC
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)14Yes (true)falseYes (true)Yes (true)Yes (X)http://www.umassmemorialhealthcare.org/sites/umass-memorial-hospital/files/Documents/About/UMass_MemYes (X)http://www.worcesterma.gov/uploads/e3/8b/e38b32c7d4a96243c9c48bbd3250b00e/cha-report.pdfYes (X)Yes (X)Yes (true)15Yes (true)https://www.umassmemorialhealthcare.org/sites/umass-memorial-hospital/files/Documents/CB%2520Plan%25falseYes (true)Yes (X)200.0600.0Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/patients-visitorsYes (X)https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/patients-visitorsYes (X)https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/patients-visitorsYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
HEALTHALLIANCE HOSPITAL INC
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)www.healthallianceclinton.comYes (X): http://www.heywood.org/about/publicationsYes (X)Yes (X)Yes (true)16Yes (true)www.healthallianceclinton.comfalseYes (true)Yes (X)200.0600.0Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitorsYes (X)https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitorsYes (X)https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitorsYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
MARLBOROUGH HOSPITAL
3falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)www.marlboroughhospital.orgYes (X)www.mwhealth.orgYes (X)Yes (true)16Yes (true)www.umassmemorialhealthcare.org/about-us/community-benefits-program/marlborough-falseYes (true)Yes (X)200.0600.0Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.umassmemorialhealthcare.org/marlborough-hospital/patients-visitors/patient-resourcesYes (X)https://www.umassmemorialhealthcare.org/marlborough-hospital/patients-visitors/patient-resourcesYes (X)https://www.umassmemorialhealthcare.org/marlborough-hospital/patients-visitors/patient-resourcesYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
CLINTON HOSPITAL ASSOCIATION
4falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)14Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)www.umassmemorialhealthcare.org/healthalliance-clinton-hospitalYes (X)http://chna9.com/index.htmlYes (X)Yes (X)Yes (true)15Yes (true)www.umassmemorialhealthcare.org/healthalliance-clinton-hospitalfalseYes (true)Yes (X)200.0600.0Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitorsYes (X)https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitorsYes (X)https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitorsYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (29 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3 Facility , 1Facility , 1 - UMass Memorial Medical Center. The most recent CHNA also includes an Impact Evaluation Summary (final Appendix) of previous CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - UMass Memorial Medical Center. Yes, input from diverse persons who represent the community was taken into account. UMass Memorial Medical Center joined efforts with the Worcester Division of Public Health (WDPH), Fallon Health and Common Pathways, a Healthy Communities Coalition that is comprised of 30+ health and human service organizations, in the development of its Community Health Needs Assessment (CHNA). The Director of the WDPH, UMass Memorial Vice President of Community Relations, and Fallon Health co-chaired the leadership process to develop a CHNA and Community Health Improvement Plan (CHIP) for the greater Worcester region. During the assessment process, community members were engaged in Key Informant Interviews, Focus Groups, and Community Dialogues, which allowed for community members to review and discuss a profile of the region and provide their feedback on community health-related strengths, needs, and a vision for the future. Ten community dialogue sessions were held: five sessions in Worcester, and five in the outlying communities (one each in Shrewsbury, Grafton, Millbury, West Boylston, Leicester, and Holden). More than a total of 1,777 individuals (including participants in an online community survey) representing diverse institutions and community organizations from across the region worked together to establish a roadmap for the future health of the region. The process included a Steering Committee comprised of a diverse number of stakeholders that advised and informed the CHNA.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - UMass Memorial Medical Center. UMass Memorial conducted the CHNA in collaboration with the Worcester Division of Public Health and Fallon Health. Additional partners included: American Cancer Society Central MA Tobacco Free Community Partnership Clark University Mosakowski Institute for Public Enterprise College of the Holy Cross Community Harvest Project Edward M. Kennedy Health Center Edward Street Child Services Family Health Center of Worcester Health Foundation of Central MA March of Dimes Massachusetts Department of Public Health Regional Environmental Council of Worcester Reliant Medical Group South East Asian Coalition UMass Graduate School of Nursing UMass Medical School United Way of Central MA WalkBike Worcester Worcester City Council District-4 Worcester Food Policy Council Worcester Police Department Worcester Public Schools Worcester Regional Research Bureau Worcester Senior Center Worcester Tree Initiative YWCA of Central MA
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - UMass Memorial Medical Center. The CHNA was publicly announced to the community at an event attended by more than 100 community stakeholders and hosted by the Worcester City Manager, Worcester Director of Public Health, Senior Vice President of UMass Memorial Health Care, President of the UMass Memorial Health Care Hospitals and the UMass Memorial Vice President of Community Relations. The hospital and WDPH also engaged in various media venues including; print and online articles in local news and community newspapers, CHNA-8, a Healthy Communities Coalition and interviews televised on WCCATV13.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - UMass Memorial Medical Center. The hospital conducted its most recent Community Health Needs Assessment in tax year 2014 and developed its implementation strategy. The Board of Trustees approved the Community Health Needs Assessment on the last day of the tax year 2014 and implementation strategies were developed and approved in tax year 2015. The prioritization process was lead by the Worcester Division of Public Health, Fallon Health and the hospital Vice President of Community Benefits and included input from approximately 100 community stakeholders. This process resulted in the development of the 2016 Greater Worcester Community Health Improvement Plan (CHIP). The hospital's Community Benefit Implementation Strategy has alignment with the CHIP. The other needs that are not included in the CHNA/CHIP are not being addressed because they are not a part of the identified priority CHIP Domain areas and due to limited funding.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - UMass Memorial Medical Center. Financial Assistance - UMassMemorial Medical Center employs a staff of Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors who are available by phone or by appointment to support patients in applying for financial assistance and resolving their medical bills. Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors provide potentially eligible patients with the appropriate methods of applying for health care coverage as listed on the Massachusetts ConnectorCare website
Schedule H, Part V, Section B, Line 16 Facility , 2Facility , 2 - UMASS MEMORIAL MEDICAL CENTER. Sch H, Part V, Section B, Lines 16 a-c Website for FAP, its application, and its plain language summary: https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/patients-visitors/patient-resources/financial-assistance
Schedule H, Part V, Section B, Line 19d Facility , 1Facility , 1 - UMass Memorial Medical Center. UMMMC refers accounts to a credit agency when written off as bad debt for further collections. These agencies continue collections without impact to the credit rating.
Schedule H, Part V, Section B, Line 3 Facility , 1Facility , 1 - UMass Memorial - HealthAlliance Hospital. The Community Health Assessment process consisted of a comprehensive gathering of quantitative (i.e., health status indicators) and qualitative data, through focus groups with community members and through interviews with community members and community leaders. Participants were drawn from among community-based, educational, civic, governmental, and faith-based professionals, health care providers, and others, and every effort was made to ensure racial/ethnic, socioeconomic, and geographic diversity in the composition of focus groups and interview participants. HealthAlliance Hospital collaborated with the Joint Coalition on Health (JCOH) and Heywood Hospital to conduct a comprehensive Community Health Assessment that gathered, analyzed and documented qualitative and quantitative data.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - UMass Memorial - HealthAlliance Hospital. The Community Health Assessment process consisted of a comprehensive gathering of quantitative (i.e., health status indicators) and qualitative data, through focus groups with community members and through interviews with community members and community leaders. Quantitative data for this study were obtained from many of the same resources used in prior assessments, including MassCHIP data obtained by individual request and configured manually in collaboration with MA DPH; the Youth Risk Behavior Survey (YRBS) data; U.S. Census data; and other authoritative data sources (e.g., state and federal governmental organizations or agencies) subject to rigorous review and data verification processes. Qualitative data were gathered through 16 Focus Groups with 228 participants and 26 Key Informant interviews with individuals representing diverse communities and populations of North Central Massachusetts. Participants were drawn from among community-based, educational, civic, governmental, and faith-based professionals, health care providers, and others, and every effort was made to ensure racial/ethnic, socioeconomic, and geographic diversity in the composition of focus groups and interview participants. HealthAlliance Healthcare collaborated with the Joint Coalition on Health (JCOH) and Heywood Hospital to conduct a comprehensive Community Health Assessment that gathered, analyzed and documented qualitative and quantitative data. Participants involved in the Community Health Needs Assessment were drawn from among community-based, educational, civic, governmental, and faith-based professionals, health care providers, and others, and every effort was made to ensure racial/ethnic, socioeconomic, and geographic diversity in the composition of focus groups and interview participants. Participants were gathered via the newspaper, our website, social media posts inviting them to the focus group and flyers were posted at individual organizations.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - UMass Memorial - HealthAlliance Hospital. HealthAlliance Hospital conducted a Community Health Needs Assessment with Heywood Healthcare (Heywood Hospital and Athol Hospital)
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - UMass Memorial - HealthAlliance Hospital. The Community Health Needs Assessment was conducted with input from our community partners: Community Health Connections, Heywood Healthcare (Athol Hospital, Heywood Hospital), The Joint Coalition on Health and the Montachusett Public Health Network
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - UMass Memorial - HealthAlliance Hospital. Community Health Assessment was made available through our website and presentations to various organizations and community forums throughout our service areas. The Community Health Assessment is also available upon request. You can find the link to our Community Health Needs Assessment here: https://www.umassmemorialhealthcare.org/about-us/community-benefits-program/healthalliance-clinton-hospital-community-benefits-program
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - UMass Memorial - HealthAlliance Hospital. The hospital responds to priority health needs in many ways, and in times that are critical for patients in crisis. In addition to charity care, indigent care, a significant number of programs and services offered address some of the priority needs identified in the CHNA. Our hospital does not have the available resources to develop initiatives to meet all identified health needs, which makes collaboration with community resources critical.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - HealthAlliance Hospital. HealthAlliance Hospital Patients who are scheduled to be admitted and have been identified as non insured and/or in need of financial assistance will have an appointment scheduled prior to admission to meet with a Financial Counselor. Patients, who are admitted to the hospital through the Emergency Department, will be visited by the Financial Counselor once the patient is on the inpatient floor. The meeting will be held with the patient and/or family as the patient's medical condition permits.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Marlborough Hospital. The process included gathering community input through a Community Health Survey to community members, as well as analysis of general data collected from the hospital and publicly available data sources. The process also incorporated a survey component that was available in English, Spanish and Portuguese, as well as 607 respondents in 22 metro west region communities completed a community survey and 150 individuals from multi sector organizations, community stakeholders and residents were engaged in focus groups.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - Marlborough Hospital. The CHNA was completed in conjunction with the MetroWest Medical Center.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Marlborough Hospital. The CHNA was completed in conjunction with MetroWest Health Foundation, MetroWest Medical Center, Hudson Health Department, and Framingham Health Department.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Marlborough Hospital. The hospital responds to priority health needs in many ways, and in times that are critical for patients in crisis. In addition to charity care, indigent care, a significant number of programs and services offered address the priority needs identified in the Community Health Needs Assessment (CHNA). Our hospital does not have the available resources to develop initiatives to meet every priority health need identified, which makes collaboration with community agencies critical. The hospital is not currently addressing all chronic conditions due to limited resources.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - Marlborough Hospital. Financial Assistance - Marlborough Hospital employs Financial Counselors who are available by phone or by appointment to support patients in applying for financial assistance and for help resolving their medical bills. Financial Counselors provide potentially eligible patients with the appropriate methods of applying for health care coverage as listed on the Massachusetts ConnectorCare website.
Schedule H, Part V, Section B, Line 19d Facility , 1Facility , 1 - Marlborough Hospital. Marlborough engages a third party agency to assist on all self pay accounts at origination. They refer accounts to a credit agency when written off as bad debt for further collections. These agencies continue collections without impact to the credit rating.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Clinton Hospital. Clinton Hospital collaborates with the Community Health Network Area 9 (CHNA 9); a local coalition of public, Montachusett Public Health Network (MPHN), other key stakeholders in health improvement, residents living within the hospital's catchment area, coalitions that address health needs of vulnerable populations, communities of faith, businesses, and providers of community-based health, education, human services and the local and state legislature when conducting it's Community Health Needs Assessment. The hospital responds to identified community needs and addresses them among our most vulnerable, medically underserved populations. Clinton hospital's target populations for Community Benefits initiatives are identified through a community input, focus groups, informant stakeholder interviews, planning process, collaborative efforts, and a Community Health Needs Assessment (CHNA) which is conducted every three years. Clinton hospital took into account input from the health assessments, representatives of the community, including diverse members who were interviewed in the Community Health Assessment Focus groups. Clinton Hospital utilized the information in the CHNA to collaborate with other community based organizations to adopt implementation strategies that address the unmet health needs of Clinton Hospital's catchment area. The CHNA is guided by members of an Community Benefits Advisory Committee that provides input and assures all necessary data, analysis and report components are included. The hospital works with their partners to collate data from multiple sources, put into conversation identified demographic data, quantitative health data, and qualitative data on community themes and strengths, including input gathered through 13 focus groups attended by a total of 90 people, public forums, and 73 key informant stakeholder interviews.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - Clinton Hospital. Clinton Hospital collaborated with two other hospitals in conducting the Community Health Assessment of North Central Massachusetts in a joint effort between the Massachusetts Department of Public Health's Community Health Network Area of North Central Massachusetts (CHNA 9) and the Joint Coalition on Health (JCOH) assessment. They include HealthAlliance Hospital, an affiliate of UMass Memorial Health Care and Heywood Hospital.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Clinton Hospital. Clinton Hospital conducted the CHNA with the following listed organizations: Partners included: The Community Health Network Area of North Central Mass. (CHNA 9) The Joint Coalition on Health of North Central Massachusetts. The Minority Coalition of North Central Massachusetts. The qualitative work was completed with the combined efforts of the Minority Coalition of North Central Massachusetts, the Spanish American Center, Cleghorn Neighborhood Center, Heywood Hospital, HealthAlliance Hospital, WHEAT, Three Pyramids, Beautiful Gate Church, New Hope Community Church, Twin Cities CDC, Gardner CDC, Memorial Congregational Church, Montachusett Opportunity Council and many other agencies and individuals.
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - Clinton Hospital. Clinton Hospital also presents the Community health assessment to community groups, community advisory committee, and to the hospital's Board of Trustees.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Clinton Hospital. Clinton Hospital's Community Benefits Program strives to meet the Schedule H/Form 990 IRS mandate to promote health for a class of persons sufficiently large so the community as a whole benefits. Our programs mirror the five core principles outlined by the Public Health Institute in terms of the emphasis on communities with disproportionate unmet health-related needs; emphasis on primary prevention; building a seamless continuum of care; building community capacity; and collaborative governance. In addition to charity care, indigent care, several initiatives and services offered that addresses some of the priority needs identified in the CHNA for example Mental health, Access to Health care and Food Security/Hunger/ Healthy Weight. Our hospital does not have the available resources to develop initiatives to meet every priority health need identified, which makes collaboration with community partners significant.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - Clinton Hospital. Financial Assistance - Clinton Hospital employs a staff of Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors who are available by phone or by appointment to support patients in applying for financial assistance and resolving their medical bills. Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors provide potentially eligible patients with the appropriate methods of applying for health care coverage as listed on the Massachusetts ConnectorCare website.
Schedule H, Part V, Section B, Line 16 Facility , 2Facility , 2 - CLINTON HOSPITAL. Sch H, Part V, Section B, Lines 16 a-c Website for FAP, its application, and its plain language summary: https://www.umassmemorialhealthcare.org/clinton-hospital/patients-visitors/patient-resources/financial-counseling
Schedule H, Part V, Section B, Line 19d Facility , 1Facility , 1 - Clinton Hospital. Clinton refers accounts to a credit agency when written off as bad debt for further collections. These agencies continue collections without impact to the credit rating.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
UMASS MEMORIAL MED CENTER (LAB SVCS)
BIOTECH ONE 365 PLANTATION STREETWORCESTERMA01605SATELLITE - LAB SERVICES
UMASS MEMORIAL MED CENTER (PATHOLOGY)
BIOTECH THREE ONE INNOVATION DRIVEWORCESTERMA01605SATELLITE - PATHOLOGY
UMASS MEMORIAL MED CENTER AMBULANCE
23 WELLS STREETWORCESTERMA01604SATELLITE - AMBULATORY SERVICES
UMASS MEMORIAL MED CENTER
100 PROVIDENCE STREETWORCESTERMA01604SATELLITE - AMBULATORY SERVICES

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I RESEARCH EXPENSESTHE AMOUNT OF RESEARCH EXPENSES FOR FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS BEING REPORTED BY UMASS MEMORIAL HEALTH CARE IS LOW SINCE THESE COSTS ARE SUPPORTED BY THE UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL. THE MEDICAL SCHOOL IS CLOSELY ASSOCIATED WITH UMASS MEMORIAL HEALTH CARE AND PROVIDES A SIGNIFICANT NUMBER OF COMMUNITY BASED PROGRAMS.
Schedule H, Part II, Line 2 COMMUNITY BUILDING ACTIVITIESPart II Community Building: Community Building - Describe how the organization's community building activities, as reported in Part II promote the health of the communities the organization serves: Clinton Hospital's Community Benefits Program strives to meet the Schedule H/Form 990 IRS mandate to promote health for a class of persons sufficiently large so the community as a whole benefits. Our programs mirror the five core principles outlined by the Public Health Institute in terms of the emphasis on communities with disproportionate unmet health-related needs; emphasis on primary prevention; building a seamless continuum of care; building community capacity; and collaborative governance. In addition to charity care, indigent care, several initiatives and services offered that addresses some of the priority needs identified in the CHNA for example Mental health, Access to Health care and Food Security/Hunger/ Healthy Weight. Our hospital does not have the available resources to develop initiatives to meet every priority health need identified, which makes collaboration with community partners significant. HealthAlliance: For Workforce Development HealthAlliance has provided financial assistance to students who wish to pursue a career in the health care field via an internship program providing financial assistance and experience through hand on practice and observation. For Community Support, Community emergency preparedness and drills are conducted in collaboration with the Leominster and Fitchburg Fire Departments and local EMS. Marlborough Hospital: Marlborough Hospital provides assistance to cognitively challenged post grad students aged 18 to 22 by helping them gain work/life skills to assist them in their transition from a school environment to a work and community setting. Additionally, disadvantaged students, including both economically or disengaged youth at risk, learn the tools to overcome barriers and move into self sustaining employment in sectors of the economy where there is a need. Clinton Hospital: Clinton Hospital is working to address basic, social and personal needs as a way to improve their communities' health. During FY 2017 Clinton Hospital provided seven high school students with the opportunity of a health career preparation program. The program exposed these students to health career possibilities, role models and how health organizations operate; it is also an opportunity for practical experience to learn by doing and applying the knowledge. The students learn new skills and develop their own personal and professional interests. They also expand their educational opportunities, personal network and make connections. This program was developed and implemented in response to an identified need in the community. Workforce Development is identified as a need nationally, as a critical component to social determinants of health, and in its community health needs assessment. Clinton Hospital partnered with the Clinton Public High School and the Workforce Investment Board to implement the program.
Schedule H, Part VI, Line 7 SCH H, PART VI, LINE 7ALL FOUR HOSPITAL'S FILE INDIVIDUAL COMMUNITY BENEFIT REPORTS WITH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE.
Schedule H, Part III, Line 8 Schedule H, Part III, Line 8UMASS BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FIRST, NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. SECOND, BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THIRD, IRS REVENUE RULING 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
Schedule H, Part I, Line 7g Subsidized Health ServicesNOT APPLICABLE
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation0
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe Cost to Charge Ratio is utilized to calculate amounts reported for each line in Part 1, Line 7
Schedule H, Part II Community Building ActivitiesUMass Memorial Healthcare recognizes Community Building activities as being a part of the "social determinants of health" that impact the health of the community. We invest in youth workforce development for at-risk youth. Programs are based on our Community Benefits Mission which was recommended by a Community Benefits Advisory Committee and draws inspiration from the World Health Organization's broad definition of health, as a "as state of complete, physical, mental and social well-being and not merely the absence of disease." By adopting this definition, UMass Memorial Medical Center has expanded its strategy to include the social and economic obstacles that prevent people from achieving optimal health. All of our Community Building activities are the result of an identified need and engage the community. They include collaborative efforts, advocacy activities and partnerships that engage a broad array of community stakeholders in addressing these unmet social determinants of health. Community Building activity examples include: Funding and promoting workforce and health career development opportunities for inner-city youth. The hospital additionally provides community support through efforts including participation in the United Way Day of Caring and others. The hospital's Center for Innovation and Transformational Change (CITC) also provided Lean Management/ Process Improvement training to the City of Worcester Cabinet Leadership team.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBad Debt is calculated utilizing an aged Bad Debt Model. Significant Analysis was reviewed by Revenue Reporting and Patient Accounting that verified the majority of what the Model considers Bad Debt will more than likely be written off as Admin Allowances. Based on the Meditech/Soarian/Ambulance Variance Summary output per payer and review of the other analysis prepared, it was determined and approved that the Provision as a result of the Model should represent only the following reserves: 1) Self Pay 2) FreeCare 3) Guarantor As such, the remaining reserves calculated on all other payers are included in Payment Systems Contractual reserves and Admin Allowance reserves. Bad Debt Recoveries (payments on accounts written off as Bad Debt) are recorded on the Financial statements as a reduction to Bad Debt Expense. Bad Debt Expense of 44,461,000 is net of these recoveries.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyCosting methodology: multiplied the gross patient service revenue by the ratio of costs to charges calculated as reported in hospitals DHCFP 403 Hospital Statement of Costs, Revenues & Statistics. Although our financial assistance policies and procedures make every effort to identify those patients who are eligible for financial assistance before the billing process begins, often it is not possible to make an appropriate determination until after the billing and collection collection cycle has commenced. The rationale for including bad debt amounts in community benefits would be to account for those patients who were classified as bad debt expense, but would have qualified for financial assistance if sufficient information had been available to make a determination of their eligibility.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteFootnote 2, page 10 of Audited Financial Statements: Allowance for Doubtful Accounts Patient accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of patient accounts receivable, the System analyzes its past history and identifies trends for each of its major categories of revenue (inpatient, outpatient and professional) to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major categories of revenue in evaluating the sufficiency of the allowance for doubtful accounts. Throughout the year, the System, after all reasonable collection efforts have been exhausted, will write off the difference between the standard rates (or discounted rates if negotiated) and the amounts actually collected against the allowance for doubtful accounts. In addition to the review of the categories of revenue, management monitors the write offs against established allowances as of a point in time to determine the appropriateness of the underlying assumptions used in estimating the allowance for doubtful accounts. Patient accounts receivable is presented net of an allowance for doubtful accounts of $57,869,000 and $50,834,000 as of September 30, 2017 and 2016, respectively, in the consolidated balance sheets. Management attributes this change in the allowance for doubtful accounts due to a decrease in accounts receivable and improvement in the aging where more current accounts are reflected in the current year. Bad debt expense for nonpatient related accounts receivable is reflected in operating expense on the statements of operations. Patient related bad debt expense is reflected as a reduction in patient service revenue in the statements of operations
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE MEDICARE COSTS ARE OBTAINED FROM THE COST REPORT FOR INPATIENT PSYCHIATRIC CAPITAL AND OUTPATIENT SERVICES. IN ADDITION, FEE BASED SERVICES, SUCH AS LABS, PT, OT, ETC, ARE DETERMINED THROUGH PS&R CHARGES TIMES OUTPATIENT COST TO CHARGE RATIO.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceA. Exemption From Self-Pay Billing and Collection Action- UMMHC will not initiate Self-Pay billing and collection activity in the following instances: 1. Upon sufficient proof that a patient is a recipient of Emergency Aid to the Elderly, Disabled and Children (EAEDC), or enrolled in MassHealth, Health Safety Net, the Children's Medical Security Plan whose family income is equal or less than 300% of the FPL or Low Income Patient designation with the exception of Dental-Only Low Income patients as determined by the office of Medicaid with the exception of co-pays and deductibles required under the Program of Assistance. 2. The hospital has placed the account in legal or administrative hold status and/or specific payment arrangements have been made with the patient or guarantor. 3. Medical Hardship bills that exceed the medical hardship contribution. 4. Medical Hardship contributions that remains outstanding during a patient's MassHealth or Low Income Patient eligibility period. 5. Unless UMMHC has checked the EVS system to determine if the patient has filed an application for MassHealth. 6. For Partial Health Safety Net eligible patients, with the exception of any deductibles required. 7. UMMHC may bill for Health Safety Net eligible and Medical Hardship patients for non-medically necessary services provided at the request of the patient and for which the patient has agreed by written consent. 8. UMMHC may bill a Low Income Patient at their request in order to allow the patient to meet the required CommonHealth One-Time Deductible
Schedule H, Part V, Section B, Line 16a FAP website- UMASS MEMORIAL MEDICAL CENTER, INC: Line 16a URL: https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/patients-visitors; - HEALTHALLIANCE HOSPITAL, INC: Line 16a URL: https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitors; - MARLBOROUGH HOSPITAL: Line 16a URL: https://www.umassmemorialhealthcare.org/marlborough-hospital/patients-visitors/patient-resources; - CLINTON HOSPITAL ASSOCIATION: Line 16a URL: https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitors;
Schedule H, Part V, Section B, Line 16b FAP Application website- UMASS MEMORIAL MEDICAL CENTER, INC: Line 16b URL: https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/patients-visitors; - HEALTHALLIANCE HOSPITAL, INC: Line 16b URL: https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitors; - MARLBOROUGH HOSPITAL: Line 16b URL: https://www.umassmemorialhealthcare.org/marlborough-hospital/patients-visitors/patient-resources; - CLINTON HOSPITAL ASSOCIATION: Line 16b URL: https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitors;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- UMASS MEMORIAL MEDICAL CENTER, INC: Line 16c URL: https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/patients-visitors; - HEALTHALLIANCE HOSPITAL, INC: Line 16c URL: https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitors; - MARLBOROUGH HOSPITAL: Line 16c URL: https://www.umassmemorialhealthcare.org/marlborough-hospital/patients-visitors/patient-resources; - CLINTON HOSPITAL ASSOCIATION: Line 16c URL: https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitors;
Schedule H, Part VI, Line 2 Needs assessmentIn addition to conducting the Community Health Needs Assessment (CHNA), UMass Memorial Medical Center assesses the health care needs of the community it serves by working closely with the Worcester Division of Public Health on an on-going basis. Community Benefits staff hold leadership roles and/or participate in multiple coalitions and efforts focused on addressing priority areas identified in the CHNA and aligned with strategies of the Community Health Improvement Plan. In 2016 and 2017, the Vice President of Community Relations co-led the establishment and continued development of the Coalition for a Healthy Greater Worcester, a healthy communities coalition that coordinates and provides accountability for CHIP Priority Area Working Groups and includes a subcommittee for oversight of Determination of Needs (DoN) funds distribution. The hospital also works closely with the Worcester Free Clinics Coalition, the Worcester Public Schools and two community health centers (Family Health Center of Worcester and the Edward M. Kennedy Community Health Center) on an ongoing basis through its Ronald McDonald Care Mobile program and Prevention and the Worcester Pediatric Asthma Task Force/Intervention. UMass Memorial Medical Center completed its CHNA by assembling a diverse group of community stakeholders that include, but are not limited to, members of health and human service organizations, philanthropy, communities of color, neighborhood residents and the Worcester Division of Public Health as part of the group that assisted and guided the assessment process. The hospital's Community Benefit Implementation Strategy is aligned with the CHIP. The other needs that are not included in the CHNA/CHIP are not being addressed because they are not a part of the nine identified priority CHIP Domain areas and due to limited funding. The following strategies were conducted to complete the assessment: * Conducted key informant interviews and focus groups with community-based organizations and residents * Conducted outreach efforts to medically-underserved populations and convene meetings with neighborhood/community groups * Reviewed primary and secondary data * Conducted online community survey * Organized community forums to share findings and release of final report * Organized task forces for further action to identify priority areas The following sources inform and enhance our efforts to identify priorities and unmet needs: * U.S. Census 2010 * U.S. Census American Fact Finder * Healthy People 2020 * National Prevention Strategy * Massachusetts Department of Education Reports including local enrollment and language data * Massachusetts Department of Employment and Training * Hospital utilization data * Massachusetts Department of Public Health/ MassCHIP * Data from various City of Worcester departments including, but not limited to, the local Division of Public Health, Neighborhood Services and Police. * Information collected from health care providers, community groups/underserved populations and individuals who have expertise on community health issues. HealthAlliance: UMass Memorial- HealthAlliance Hospital works with a range of community based organizations including Fitchburg and Leominster Public Schools, Montachusett Opportunity Council, Community Health Network of North Central Massachusetts (CHNA 9) and many other local partners/organizations. We work closely with the CHNA9 to create and implement a Community Health Improvement Plan (CHIP). UMass Memorial - HealthAlliance Hospital co-chairs the Mental/Behavioral Health and Substance Committee. The goal of this committee is to improve overall behavioral health and well-being, including preventing substance abuse, in a culturally diverse, responsive, and holistic manner. During FY17, a survey was developed to establish a baseline for the knowledge and understanding of gaps to accessing mental health services for youth and adults in North Central, MA. Marlborough Hospital: The CHNA is comprised of qualitative and quantitative data collected through a community engagement process. In addition, the Community Benefits Advisory Council, comprised of members of different agencies and businesses in the area, helps to identify programs in support of the community priorities. In addition to conducting the CHNA, Marlborough Hospital assesses the health care needs of the community it serves by working closely with its Community Benefits Advisory Committee (CBAC). The CBAC, is chaired by the president of the Boys and Girls Club of Metrowest who is also a hospital trustee. Other CBAC members include representatives from the Hudson and Marlborough Public Schools and the Boards of Health, agencies that focus on addiction and recovery services, the Council on Aging, the Marlborough Community Development Corporation, Wellness Council members and residents of the community. The CBAC helps to identify programs in support of the community priorities, provides feedback on an on-going basis and focuses on addressing priority areas identified in the CHNA and aligned with strategies of the Community Health Improvement Plan. Clinton Hospital: The hospital engages in other efforts to assess the needs of the community such as; planning and collaborative efforts that include the North Region's Community Health Improvement Plan Healthy Living Priority Area, active involvement with the Minority Coalition Health Disparities and Racial Justice priority area and leadership in the Clinton Community Partnership, whose mission is to coordinate resources in order to provide full access to programs that support lifelong education, health, career advancement, job placement and economic development for members of our communities. The hospital's Community Benefits Manager co-chairs the Clinton Area Community Partnership and collaborates with WHEAT Community Connections related to implementing community initiatives that focus on the health needs of the underserved populations served through their food pantry and serves on several local committees including Department of Public Health's Community Health Network Association 9 Steering Committee.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceFinancial Counselors, also referred to as Certified Application Counselors (CAC's) are state certified and located on all campus locations. CAC's are available to assist underinsured and uninsured patients navigate the medical benefit application process. CAC's will take the steps necessary to help patients submit applications to obtain coverage, resolve eligibility issues, upgrade their coverage to coverage that provides more benefits, choose and enroll in a MassHealth or Connector Care Health insurance plan and change these plans when necessary.
Schedule H, Part VI, Line 4 Community informationGeographical Reach: The 2015 Community Health Assessment (CHNA) and subsequent Greater Worcester Community Health Improvement Plan (CHIP) focuses on the City of Worcester and the outlying communities of Shrewsbury, Millbury, West Boylston, Leicester, Grafton and Holden, a sub-section of its primary service area. This specific geographic area is the focus for the City of Worcester Division of Public Health regionalization initiative, and overlaps with the service area of many other local organizations. Focusing UMass Memorial's CHNA on this geographic area facilitates the alignment of the hospital's efforts with community and governmental partners, specifically the city health department, the area Federally Qualified Health Centers, and community-based organizations. This focus also facilitates collaboration with the CHIP Advisory Committee that implements key strategies of the CHIP so that future initiatives can be developed in a more coordinated approach. Regional Description: The City of Worcester is very ethnically-diverse, considerably more so than the nation and state overall. The number of Hispanics living in the city has grown by 35% over the past 10 years. Refugees from Iraq currently account for the greatest percentage of new immigrants (51%) followed by refugees from Bhutan, Burma, Liberia and other African nations. Health Resources and Services Administration (HRSA) has designated the City of Worcester a health professional shortage area (HPSA) in primary care, mental health and dental services due to its low income population. The City of Worcester has several neighborhoods with a shortage of health providers and HRSA has determined that many census tracts in the city are medically-underserved areas (MUAs). Economic Characteristics: The U.S. Census population estimates for 2012-2016 indicated that the median household income for the Worcester County region was $67,005. For the City of Worcester, the region's largest urban area, the estimate for this period was considerably lower at $45,599. According to the census data, of the city's total 184,508 residents, 22.1% are living below the poverty level. The number of children under the age of 18 living below the poverty level rose to 29.6% in 2010 from 25% in 2005-20091. These factors have resulted in a strong need for food assistance services. For example, according to the Massachusetts Department of Education, 64% of students in the Worcester Public School system receive free school lunch3. -------------------------------------------------- 1. U.S. Census, Quick Facts Population estimates, July 1, 2017, (V2017) 2010 and 2010 American Community Survey 1-year estimates, U.S. Census 2. Massachusetts Executive Office of Labor Workforce and Development 3. Massachusetts Department of Education Demographics: Worcester is the largest site for refugee resettlement in Massachusetts, with more than 1,600 refugees resettled in the city in the past five years. As a result, the City of Worcester's foreign born population is significantly higher than Worcester County as a whole, accounting for the majority of this population in the region. According to U.S. Census 2010 figures, the Hispanic population and other non-Hispanic, non-White ethnic groups in the city have notably increased while the white, non-Hispanic population has decreased. Reflecting this diversity, ninety percent of all medical interpretations provided by UMMHC are conducted in: Spanish, Portuguese, Vietnamese, Arabic, Albanian and American Sign Language. The remaining ten percent are conducted in other "non-primary" languages, the pool of which consists of 81 different languages. The senior population in the region also continues to grow as baby boomers reach the age of 65. According to the U.S. Census, residents between the ages of 20-64 account for the majority of the population in Worcester County at 61%. HealthAlliance: Our target populations focus on medically-underserved and vulnerable groups of all ages in North Central Massachusetts. Our most vulnerable populations include children, ethnic and linguistic minorities and those living in poverty. These populations often become isolated and disenfranchised due to negligence, misperceptions and even fear. The Study Area configuration for the current assessment includes the 30 surrounding municipalities including nine (9) cities and towns. Within the Health Status and Outcomes section of the report, some data sets reflect a further distillation of data from the communities of: Princeton/ East Princeton; Lancaster/South Lancaster; Groton/West Groton; Townsend/West Townsend; and Winchendon/Winchendon Springs, resulting in a presentation of data from 35 communities. The hospital is actively involved in coalition building that focuses on improving the health of the community, including the Joint Coalition on Health. The Coalition has brought positive change to the service area. HealthAlliance Hospital is also actively engaged with the CHNA 9, whose goal is continuous improvement of health status, with a focus on health equality and addressing and eliminating health disparities. Marlborough Hospital: The City of Marlborough, with a population of 39,818 (July 2015) grew 3.4% from 2010. Marlborough's population is predominately white (80%) followed by Hispanic or Latino (10%), other race is 7%, Asian 5%, black or African American 2% and 3% identify themselves as 2 or more races. Hudson has a population of 14,907 with 90% who identify themselves as white, 4% Hispanic or Latino, 2% other, 2% Asian, 1% black or African American and 2% indicate two or more races. Quantitative data from U.S Department of Commerce, Bureau of the Census, American Community Survey 5 year estimates, 2010-2014 illustrates that just over threefourths of the Massachusetts population is white (76.9%) which was largely consistent with Marlborough (80%). Both at the state level and in Marlborough, the Hispanic population was the next largest racial/ethnic group. Hudson's population followed a similar pattern, the proportion of its population that identified as white was even larger (90%) followed by Hispanic and Latino. English, Portuguese and Spanish are the predominant language for the communities the hospital serves. Clinton Hospital: Clinton Hospital primarily serves the communities of Clinton, Berlin, Bolton, Lancaster and Sterling with populations of 13,606, 2,866, 4,897, 7,582 and 9,564 respectively. The population of the total service area is 36,759. According to US Census 2010, Clinton has a population of 13,606. Most Clinton residents are White Non-Hispanic (84%), followed by Hispanic (11.6%) and Black Non- Hispanic (1.80%). The Clinton Hospital Service Area is also primarily White Non-Hispanic (88%), followed by Hispanic (6.4%), and Black Non-Hispanic (2.8%). Clinton Hospital's Community Benefits Plan focuses on the needs of Clinton due to its large concentration of diverse, vulnerable populations.
Schedule H, Part VI, Line 5 Promotion of community healthEvery year, UMass Memorial Health Care develops, participates in and financially supports a wide variety of community-based programs and services aligned with the hospital's community health improvement priority areas. In FY17, these included: Access to Care, Access to Healthy Food/Healthy Weight, Mental Health, Pediatric Asthma and Behavioral Health. Our clinical system utilizes surplus funds to support community health efforts. UMass Memorial Health Care contributes to the community in ways that are not quantified as part of this report and serves as an important community resource. The majority of the organization's governing body is comprised of persons who reside in Central Massachusetts who are neither employees nor independent contractors of the organization, nor family members thereof. Furthermore, the organization extends medical staff privileges to all qualified physicians in its community for some or all of its departments or specialties. UMass Memorial Health Care also serves as an important community resource by extending staff privileges to all qualified physicians in the community. The system medical staff totals 1,703 members including residents, fellows and hospitalists. UMass Memorial Health Care discharged 49,816 inpatients and provided 1,530,529 outpatient encounters in 2017.
Schedule H, Part VI, Line 6 Affiliated health care systemOur clinical system is comprised of four hospitals which each site having a dedicated Community Benefits staff that works with their respective communities in conducting a CHNA, a CHIP and an Implementation Strategy. HealthAlliance: During fiscal year 2017, UMass Memorial - HealthAlliance Hospital worked with our community partners via the CHNA9 to create a North Central Community Health Improvement Plan (CHIP). The North Central CHIP is based on the 2012 and 2015 Community Health Assessments conducted for our region. In the spring and summer of 2015, members of the Community Health Network for North Central Mass (CHNA 9) steering committee analyzed the results of the recent Community Health Assessments and identified four consistent areas of need which became the four Priority Areas. To view the CHIP, click visit: http://www.chna9.com/uploads/3/4/2/5/34257345/11864_chna9_proof_r2.pdf Marlborough Hospital: Our clinical system is comprised of four hospitals which each site having a dedicated Community Benefits staff that works with their respective communities in conducting a CHNA, a CHIP and an Implementation Strategy. Clinton Hospital: Our clinical system is comprised of four hospitals which each site having a dedicated Community Benefits staff that works with their respective communities in conducting a Community Health Needs Assessment, a Community Health Improvement Plan and its hospital's Implementation Strategy.
Schedule H, Part VI, Line 7 State filing of community benefit reportMA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
Edward M Kennedy Community Health Center Inc
650 Lincoln StreetWorcesterMA01605042513817501 (c)(3)$1,000,000$0N/AN/ASupport for Health Center's mission
Family Health Center of Worcester Inc
26 Queen StreetWorcesterMA01610042485308501 (c)(3)$1,000,000$0N/AN/ASupport for Health Center's mission
University of Massachusetts Medical School
55 Lake Ave NWorcesterMA01655043167352University of MA$88,996$0N/AN/AEOHHS ICB Grant $29,681 and Complex Aortic Aneurysm Repair Study $59,315
Physician Health Services Inc
860 Winter StreetWalthamMA02451223234975501 (c)(3)$12,500$0N/AN/ASupport for Caring for Physician Health Campaign
Arthritis Foundation
1330 West Peachtree StreetAtlantaGA30309581341679501 (c)(3)$10,000$0N/AN/ACentral MA WTCA Sponsorship
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceDesc
COMMUNITY SUPPORT6$23,0000
Scholarship13$9,4000

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part II, Line 1(h) SCHEDULE I, PART II, LINE 1HMEDICAL CENTER: The standard set forth is a reasonable expectation that the Grants will contribute meaningfully to each of the Health Center's ability to maintain or increase the availability, or enhance the quality, of services provided to a medically underserved population serviced by the Health Centers. Each Health Center has documented the basis for said reasonable expectation. This EOHHS grants are for Health Care Infrastructure and Capacity Building funding for Hospitals and Community Health Centers. The primary objective of the present study is to evaluate the safety and efficacy of physician-modification of FDA-approved off-the-shelf endovascular grafts in the treatment of patients with complex Aortic Aneurysm Repair.
Schedule I, Part III Schedule I, Part III Type of grant or assistanceCentral New England HealthAlliance: Community Support is related to the Doyle Community fund that offers annual grant opportunities for non-profits in the community who seek to improve health and wellness and/or who impact our youth at risk and families in need.
Schedule I, Part III Schedule I, Part III Type of grant or assistanceMarlborough Hospital: Scholarships awarded to students pursuing a career in health care. MacLaren Scholarship and the Auxiliary Scholarship.
Schedule I, Part II, Line 1(h) Schedule 1, Part II, Line 1(H)Medical Group: 2017 donation to Physician Health , Inc. is to provide confidential consultation and support to physicians, residents, and medical students.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.MEDICAL CENTER: 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. THE HEALTH CENTERS WlLL DOCUMENT THE RE-EVALUATION CONTEMPORANEOUSLY. AS PART OF THE FUNDRAISING AGREEMENT, BI-ANNUAL UPDATES WILL BE PROVIDED TO THE SENIOR VICE PRESIDENT FOR OPERATIONS OF THE MEDICAL CENTER RESPONSIBLE FOR THE MUSCULOSKELETAL CENTER OF EXCELLENCE. GRANT FUNDED ON A PER YEAR BASIS FOR THE DURATION OF THE STUDY. WITH ANNUAL COST RECONCILIATIONS PERFORMED AND PROVIDED TO THE MEDICAL CENTER

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (60 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John Bronhard
Treasurer, HealthAlliance Hospitals, Inc., Officer/Dir various$274,874$0$51,687$0$563$0$7,805$0$23,279$0$358,208$0$0$0
Douglas S Brown
Secretary, UMM Health Care, Inc., Officer/Dir various$0$540,831$0$245,570$0$44,584$0$180,928$0$24,303$0$1,036,215$0$44,584
Lisa Colombo
President, Clinton Hospital Assoc., Director of Comm Hospitals Inc.$217,363$0$76,275$0$9,995$0$19,238$0$23,297$0$346,168$0$0$0
Eric W Dickson MD
President & CEO/Director, UMM Health Care, Inc., Director various$0$1,057,840$0$528,650$0$42,536$0$327,911$0$55,489$0$2,012,426$0$40,466
John Greenwood
President/Director, UMM Accountable Care Organization, Inc.$283,618$0$103,429$0$17,603$0$81,471$0$24,347$0$510,468$0$17,603$0
Cheryl M Lapriore
President/Director, UMM Health Ventures, Inc., Director various$0$295,259$0$101,234$0$24,998$0$92,965$0$23,109$0$537,565$0$24,998
Sergio Melgar
Treasurer, UMM Health Care, Inc., Officer/Dir various$0$649,922$0$296,693$0$57,523$0$137,298$0$38,849$0$1,180,283$0$57,523
Patrick Muldoon
President, UMM Med Ctr, Inc., Director various$757,686$0$375,229$0$47,583$0$244,115$0$40,292$0$1,464,904$0$47,583$0
Steven Roach
President, Marlborough Hospital, Director various$342,141$0$128,609$0$40,440$0$60,394$0$25,334$0$596,919$0$40,440$0
Dana E Swenson
President/Director, UMM Realty, Inc.$0$245,086$0$95,111$0$0$0$65,055$0$22,187$0$427,439$0$0
Stephen E Tosi MD
President, UMM Med Group, Inc., Director various$638,739$0$291,042$0$193,632$0$80,547$0$29,176$0$1,233,136$0$193,632$0
Deborah Weymouth
President, HealthAlliance Hospitals, Inc., Director various$387,246$0$132,651$0$0$0$87,590$0$15,209$0$622,696$0$0$0
Douglas Ziedonis MD
President, UMM Behavioral Health System, Inc. until 3/8/17, Director various$224,584$0$39,468$0$0$0$13,250$0$28,947$0$306,249$0$0$0
Howard Alfred MD
Director, UMM Accountable Care Organization, Inc.$232,135$0$7,343$0$0$0$4,969$0$27,845$0$272,292$0$0$0
Peter Bagley MD
Director, UMM Accountable Care Organization, Inc.$257,034$0$182,829$0$0$0$45,300$0$28,947$0$514,110$0$0$0
Alan P Brown MD
Director, UMM Behavioral Health System, Inc.$181,817$0$21,950$0$0$0$10,590$0$25,091$0$239,447$0$0$0
William Corbett MD
Director, Marlborough Hospital, Director various$373,014$0$156,814$0$35,206$0$147,006$0$22,187$0$734,226$0$35,206$0
Therese Day
Director, UMM Health Ventures, Inc.$298,984$0$110,604$0$23,768$0$102,317$0$23,109$0$558,782$0$23,768$0
Kimberly Eisenstock MD
Director, Marlborough Hospital$222,999$0$46,048$0$0$0$13,250$0$24,996$0$307,293$0$0$0
R Kevin Ferguson MD
Director, UMM Med Group, Inc.$237,299$0$9,396$0$0$0$12,242$0$25,038$0$283,975$0$0$0
Robert W Finberg MD
Director, UMM Health Care, Inc.$282,351$0$74,655$0$49,405$0$39,187$0$31,446$0$477,044$0$49,405$0
David Harlan MD
Director, UMM Accountable Care Organization, Inc.$151,724$0$27,000$0$0$0$9,307$0$25,643$0$213,674$0$0$0
Kathryn Kennedy MD
Director, UMM Med Group, Inc.$227,873$0$57,675$0$0$0$13,250$0$28,689$0$327,487$0$0$0
Daniel H Lasser MD
Director, UMM Med Group, Inc.$212,231$0$68,421$0$0$0$42,615$0$27,718$0$350,986$0$0$0
Shipen Li MD
Director, HealthAlliance Hospitals, Inc.$273,641$0$31,420$0$0$0$13,250$0$24,923$0$343,234$0$0$0
Jeffrey N Metzmaker MD
Director, UMM Med Group, Inc.$305,632$0$158,171$0$0$0$13,250$0$26,419$0$503,473$0$0$0
Dominic Nompleggi MD
Director, UMM Med Group, Inc.$235,925$0$81,409$0$0$0$13,250$0$31,007$0$361,590$0$0$0
Daniel O'Leary MD
Director, Coordinated Primary Care, Inc.$208,166$0$40,503$0$1,894$0$6,245$0$3,868$0$260,675$0$0$0
Chris Philbin
Director, UMM Comm Hospitals, Inc., Clinton Hospital Assoc.$0$206,531$0$67,100$0$16,842$0$34,390$0$25,669$0$350,532$0$16,842
Catherine Rossi
Director, Clinton Hospital Association$0$179,500$0$57,118$0$12,723$0$51,876$0$24,452$0$325,669$0$12,723
Katharine Bolland Eshghi
Assistant Secretary, UMM Health Care, Inc.$0$335,319$0$129,196$0$33,225$0$78,350$0$23,609$0$599,699$0$33,225
Nicole Gagne
President, Community HealthLink, Inc.$196,470$0$57,990$0$0$0$14,164$0$23,434$0$292,058$0$0$0
John Glassburn
Secretary, UMM Community Hospitals, Inc.$0$174,290$0$17,499$0$0$0$14,017$0$22,187$0$227,993$0$0
Steven McCue
Treasurer, Marlborough Hospital$185,319$0$44,660$0$0$0$18,617$0$3,678$0$252,273$0$0$0
William O'Brien
Secretary, UMBHS, Inc.$0$121,911$0$12,854$0$0$0$18,626$0$25,661$0$179,051$0$0
Jeffrey Olson
Treasurer, Clinton Hospital Assoc.$144,296$0$23,706$0$0$0$21,977$0$25,270$0$215,249$0$0$0
Jeanne Shirshac
Treasurer, UMM Accountable Care Organization, Inc.$0$201,026$0$63,525$0$15,406$0$49,278$0$22,388$0$351,622$0$15,406
Francis W Smith
Secretary, UMM Medical Group, Inc., Officer various$0$198,302$0$24,173$0$0$0$29,432$0$24,376$0$276,283$0$0
Michele Streeter
Treasurer, UMM Med Group, Inc.$404,850$0$184,369$0$23,664$0$136,271$0$24,795$0$773,949$0$23,664$0
James P Cyr
Sr. VP, Operations (UMMMC)$251,073$0$98,089$0$25,058$0$86,168$0$23,978$0$484,366$0$25,058$0
Robert Feldmann
VP, Corporate Controller$0$283,862$0$110,774$0$49,743$0$85,102$0$26,083$0$555,564$0$49,743
Barbara Fisher
Sr VP, Operations (UMMMC)$261,856$0$101,657$0$28,898$0$98,248$0$22,187$0$512,845$0$28,898$0
Cathy Jewell
Sr VP, Chief Nursing Officer until 1/31/17$298,487$0$115,148$0$182,220$0$112,952$0$33,182$0$741,988$0$182,220$0
Bart Metzger
Sr VP, Chief HR Officer$0$372,995$0$146,757$0$0$0$53,905$0$25,836$0$599,493$0$0
John T Randolph
VP, Chief Corporate Compliance$0$232,236$0$92,194$0$0$0$71,784$0$24,709$0$420,923$0$0
Alice Shakman
Sr. VP, Operations (UMMMC)$263,326$0$100,351$0$30,683$0$85,260$0$12,120$0$491,739$0$30,683$0
Jeffrey A Smith MD
Executive VP, COO$520,600$0$199,590$0$0$0$59,090$0$30,228$0$809,507$0$0$0
Timothy Tarnowski
Sr VP, Chief Info Officer$0$448,327$0$172,722$0$0$0$91,387$0$36,727$0$749,163$0$0
Jennifer Walker MD
Physician, Division Chief of Cardiac Surgery - Med Group$531,707$0$350,000$0$0$0$13,250$0$28,295$0$923,252$0$0$0
Demetrius Litwin MD
Physician, Chair of Surgery Dept - Med Group$583,591$0$224,538$0$0$0$13,250$0$29,131$0$850,510$0$0$0
Adel Bozorgzadeh MD
Physician, Chief of Organ Transplantation - Med Group$469,399$0$266,173$0$0$0$13,250$0$28,947$0$777,769$0$0$0
David C Ayers MD
Physician, Chair of Orthopedics and Physical Rehab - Med Group$631,176$0$47,547$0$0$0$13,250$0$28,056$0$720,029$0$0$0
Ajit S Puri MD
Physician, Division Chief of Neuroimaging and Intervention - Med Group$493,260$0$145,036$0$0$0$13,250$0$24,543$0$676,089$0$0$0
Patricia George
VP & Deputy CIO, until 11/15$0$300,000$0$0$0$26,488$0$11,365$0$5,594$0$343,447$0$26,488
Margaret Hudlin MD
CMO/VP Perioperative Svcs, until 9/1/16$253,162$0$369,221$0$265,181$0$0$0$17,758$0$905,322$0$120,584$0
Robert Klugman MD
Former Chief Quality Officer, until 9/30/13$0$0$19,203$0$772,916$0$0$0$0$0$792,120$0$755,982$0
Andrew Cocchiarella MD
Director until 3/16, Marlborough Hospital$3,207$0$4,800$0$22,231$0$1,519$0$477$0$32,234$0$0$0
Carlos Iitsuka
Director until 7/16, UMM Health Ventures, Inc.$0$152,149$0$95,280$0$154,825$0$34,641$0$16,520$0$453,415$0$75,595
Sheila Daly
President until 1/16, Clinton Hospital Association, Director Comm Hospitals Inc.$201,306$0$18,362$0$0$0$43,262$0$9,773$0$272,702$0$0$0
Todd Keating
Treasurer until 2/14, UMass Memorial Health Care, Inc. and Director of other boards$0$0$0$0$0$17,808$0$0$0$0$0$17,808$0$17,808

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part IITHE ABOVE DIRECOTRS 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 paymentThe following individuals received or had deferred severance in the reporting period: Included in Sch J Col Biii: Hudlin, Margaret, MD $144,597 Iitsuka, Carlos $79,230
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTHE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE REPORTING PERIOD: Officers, Directors, Trustees: Bolland Eshghi, Katharine $33,225 Brown, Douglas S. $44,584 Corbett, William, MD $35,206 Day, Therese $23,768 Dickson, Eric W., MD $40,466 Finberg, Robert W., MD $49,405 Greenwood, John $17,603 Lapriore, Cheryl M. $24,998 Melgar, Sergio $57,523 Muldoon, Patrick $47,583 Philbin, Chris $16,842 Roach, Steven $40,440 Rossi, Catherine $12,723 Shirshac, Jeanne $15,406 Streeter, Michele $23,664 Tosi, Stephen E., MD $193,632 Subtotal Off, Dir, Trustees $677,068 Key Employees: Fisher, Barbara $28,898 Jewell, Cathy $182,220 Shakman, Alice $30,683 Subtotal Key Employees $241,801 Former: George, Patricia $26,488 Hudlin, Margaret, MD $120,584 Iitsuka, Carlos $75,595 Keating, Todd A. $17,808 Klugman, Robert, MD $755,982 Subtotal Former $996,457 Total $1,915,326 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: Cyr, James P. Feldmann, Robert Metzger, Bart Randolph, John T. Smith, Jeffrey A., MD Tarnowski, Timothy Former: Daly, Sheila

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS SERIES F REISSUED
A0434318140000000002017-03-28$25,725,000PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES F BONDSfalsefalsefalse
MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A
B0434318140000000002009-11-24$9,420,000PAY OFF HEFA POOL O LOAN, ER RENOVATIONS, EICU EQUIPMENT, CT SCAN LEASE, MAMMOGRAPHY UNITfalsefalsefalse
MHEFA-UMASS MEMORIAL SERIES G
C042456011SEEPARTVI2010-05-27$61,833,656REFUNDING OF CNEHA SERIES A BOND (1993) AND MEDICAL CENTER OF CENTRAL MA, SERIES B (1992)falsefalsefalse
MDFA-UMASS MEMORIAL SERIES H
D043431814SEEPARTVI2011-08-10$92,293,778PART REFUND OF MED C VAR RATE SER A (98), REFUND IN FULL OF CNEHA SER B (98) &UMASS MEM SER C (01).falsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$845,000$0$25,725,000$0$0$0$0$0$0$0$25,725,000$02017Yes (true)falseYes (true)Yes (true)
B$1,706,000$0$9,420,000$0$0$0$93,458$0$0$9,326,542$0$02009Yes (true)falseYes (true)Yes (true)
C$32,340,000$0$61,833,836$0$0$0$1,099,039$0$0$0$60,734,797$02010Yes (true)falseYes (true)Yes (true)
D$29,480,000$0$92,293,778$0$0$0$1,235,315$0$0$0$91,058,463$02011Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.00.00.0falsefalseYes (true)
Bfalsefalsefalsefalse0.00.00.0falsefalseYes (true)
Cfalsefalsefalsefalse0.00.00.0falsefalseYes (true)
Dfalsefalsefalsefalse0.00.00.0falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalseYes (true)falsefalseYes (true)falsefalsefalseYes (true)
BfalsefalseYes (true)falseYes (true)falsefalsefalseYes (true)
CfalsefalsefalseYes (true)falsefalsefalsefalseYes (true)
DfalsefalseYes (true)falsefalsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail (23 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column (c) Series G CUSIP List57586EUS8, 57586EUT6, 57586EUU3, 57586EUV1, 57586EUW9, 57586EUX7, 57586EUY5, 57586EUZ2, 57586EVA6, 57586EVB4, 57586EVC2, 57586EVD0, 57586EVE8, 57586EVF5, 57586EVG3, 57586EVH1, 57586EVJ7
Schedule K, Part I, Column (c) Series H CUSIP List57583UGP7, 57583UGQ5, 57583UGR3, 57583UGS1, 57583UGT9, 57583UGU6, 57583UGV4, 57583UGW2, 57583UGX0, 57583UGY8, 57583UGZ5, 57583UHA9, 57583UHB7, 57583UHC5
Schedule K, Part I, Column (c) Series I CUSIP List57584XJK8, 57584XJL6, 57584XJM4, 57584XJN2, 57584XJP7, 57584XJQ5, 57584XJR3, 57584XJS1, 57584XJT9, 57584XJU6, 57584XJV4, 57584XJW2, 57584XJX0, 57584XJY8, 57584XJZ5, 57584XKA8, 57584XKB6, 57584XKC4
Schedule K, Part I, Column (c) Series K CUSIP List57584XE23 - 57584XE31 - 57584XE49 - 57584XE56 - 57584XE64 - 57584XE72 - 57584XE80 - 57584XE98 - 57584XF22 - 57584XF30- 57584XF48 - 57584XF55 - 57584XF63
Schedule K, Part III, Line 4 AllPrivate Business Use is calculated on an annual basis by contacting appropriate organization representatives in charge of contracts, leases, and space negotiations. Contracts and other applicable documents are gathered, reviewed, and maintained. Private Business Use policy is reviewed annually. Senior management reviews private business use calculations annually.
Schedule K, Part VI AllUMass Memorial Health Care, Inc., UMass Memorial Medical Center Inc., UMass Memorial Health Ventures, Inc., and UMass Memorial HealthAlliance-Clinton Hospital, Inc. are members of the Obligated Group. The assets of these members will be available to meet the debt obligations.
Schedule K, Part II, Line 3 MHEFA - UMass Memorial, Series GColumn (e) issue price of $61,833,656; add interest earned on proceeds of $180, equals line 3 of $61,833,836.
Schedule K, Part II, Line 3 MDFA - UMass Memorial Master LeaseColumn (e) issue price of $20,000,000; add interest earned on proceeds of $13,504, equals line 3 of $20,013,504.
Schedule K, Part II, Line 3 MDFA - UMass Memorial Master LeaseColumn (e) issue price of $20,000,000; add interest earned on proceeds of $723, equals line 3 of $20,000,723.
Schedule K, Part II, Line 3 MDFA - UMass Memorial, Series IColumn (e) issue price of $194,086,349; add interest earned on proceeds of $636,871, equals line 3 of $194,723,220.
Schedule K, Part II, Line 3 MDFA - UMass Memorial Master LeaseColumn (e) issue price of $75,000,000; add interest earned on proceeds of $85,559, equals line 3 of $75,085,559.
Schedule K, Part II, Line 3 MDFA - UMass Memorial, Series KColumn (e) issue price of $56,751,941; add interest earned on proceeds of $134,314, equals line 3 of $56,886,255.
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS, SERIES F REISSUED N/A
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A N/A
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MHEFA-UMASS MEMORIAL, SERIES G N/A
Schedule K, Part IV, Line 2c COLUMN CIssuer name: MHEFA-UMASS MEMORIAL, SERIES G The calculation for computing no rebate due was performed on 10/14/2014
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA-UMASS MEMORIAL, SERIES H N/A
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA-UMASS MEMORIAL MASTER LEASE N/A
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA-UMASS MEMORIAL MASTER LEASE N/A
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA - UMASS MEMORIAL, SERIES I N/A
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA- UMASS MEMORIAL, SERIES J N/A
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA- UMASS MEMORIAL MASTER LEASE N/A
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA- UMASS MEMORIAL, SERIES K N/A

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MDFA-UMASS MEMORIAL MASTER LEASE
A0434318140000000002011-12-28$20,000,000CAPITAL EQUIPMENTfalsefalsefalse
MDFA-UMASS MEMORIAL MASTER LEASE
B0434318140000000002013-08-14$20,000,000CAPITAL EQUIPMENTfalsefalsefalse
MDFA - UMASS MEMORIAL SERIES I
C043431814SEEPARTVI2016-02-02$194,086,349REFUNDING IN FULL UMASS MEM SER A REV BONDS (98) AND UMASS MEM SERIES D (05), VARIOUS CONST & EQUIP.falsefalsefalse
MDFA- UMASS MEMORIAL SERIES J
D0434318140000000002016-12-07$50,000,000SUPPORT THE PURCHASE AND IMPLEMENTATION OF THE NEW ELECTRONIC MEDICAL RECORD AND BILLING SYSTEMfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$19,128,097$0$20,013,504$0$0$0$29,000$0$0$19,984,504$0$02013falsefalseYes (true)Yes (true)
B$13,460,568$0$20,000,723$0$0$0$36,810$0$0$19,963,913$0$02013falsefalseYes (true)Yes (true)
C$0$0$194,723,220$0$0$26,033,958$2,529,172$0$0$35,802,913$130,357,177$0Yes (true)falsefalseYes (true)
D$0$0$50,000,000$0$0$0$260,000$0$0$49,740,000$0$02017falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.00.00.0falsefalseYes (true)
Bfalsefalsefalsefalse0.00.00.0falsefalseYes (true)
Cfalsefalsefalsefalse0.00.00.0falsefalseYes (true)
Dfalsefalsefalsefalse0.00.00.0falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalseYes (true)falsefalsefalsefalsefalseYes (true)
BfalsefalseYes (true)falsefalsefalsefalsefalseYes (true)
CfalseYes (true)falsefalsefalsefalsefalsefalseYes (true)
DfalseYes (true)falsefalseYes (true)falsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MDFA- UMASS MEMORIAL MASTER LEASE
A0434318140000000002016-12-07$75,000,000SUPPORT THE PURCHASE AND IMPLEMENTATION OF THE NEW ELECTRONIC MEDICAL RECORD AND BILLING SYSTEM.falsefalsefalse
MDFA- UMASS MEMORIAL SERIES K
B043431814SEEPARTIV2017-02-01$56,751,941REFUND IN FULL UMASS MEMORIAL SERIES E REV BONDS; REIMBURSE CAPITAL COSTS OF EQUIP, & ISSUANCE COSTSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$75,085,559$0$0$76,036$81,000$0$0$74,928,523$0$02017falsefalseYes (true)Yes (true)
B$0$0$56,886,255$0$0$11,747,547$1,026,941$0$0$18,386,767$25,725,000$0Yes (true)falsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.00.00.0falsefalseYes (true)
Bfalsefalsefalsefalse0.00.00.0falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalseYes (true)falsefalsefalsefalsefalseYes (true)
BfalseYes (true)falsefalsefalsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (13 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
80 Erdman Way LLC
Entity more than 35% owned by John R. Clementi, Board Director$108,876Rental of Property - Expensefalse
Ellen Carlucci
Family Member of Daniel Carlucci, M.D., Board Director$157,985Employment Arrangement w/ Marlborough Hospitalfalse
Joanne D'Onfro
Family Member of Paul D'Onfro, Board Director$19,336Employment Arrangement w/ HealthAlliance Hospitals, Inc.false
Elaine Granville RN
Family Member of Cheryl Lapriore, Officer / Board Director$141,867Employment Arrangement w/ UMM Medical Center, Inc.false
Joyce Fingeroth MD
Family Member of Robert W. Finberg, M.D., Board Director$106,275Employment Arrangement w/ UMM Medical Group, Inc.false
Brittany M Paulhus
Family Member of Robert J. Paulhus, Jr., Board Director$55,396Employment Arrangement w/ UMM Medical Center, Inc.false
Darlene A Purcell
Family Member of Philip E. Purcell, Board Director$136,366Employment Arrangement w/ UMM Medical Center, Inc.false
Substantial Contributor
Substantial Contributor$581,4683rd Party Payer Contract Paymentfalse
Substantial Contributor
Substantial Contributor$1,225,084Independent Contractor Arrangementfalse
Substantial Contributor
Substantial Contributor$137,216Independent Contractor Arrangementfalse
Substantial Contributor
Substantial Contributor$3,821,619Independent Contractor Arrangementfalse
Substantial Contributor
Substantial Contributor$582,312Independent Contractor Arrangementfalse
Substantial Contributor
Substantial Contributor$214,9513rd Party Payer Contract Payment & Independent Contractor Arrangementfalse

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$36,939NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part II Supplemental InformationFormAndLineReferenceDesc
ExplanationUMass Memorial Health Care, Inc. affiliates utilize the services of UMass Memorial Foundation, Inc. to solicit donor contributions, on occasion, the organization receives gifts of publicly traded stock. All gifts of publicly traded stock are immediately sold upon receipt through an investment services firm.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services(Expenses $ 81,677,287 including grants of $ 28,000)(Revenue $ 97,430,084) OTHER UMASS MEMORIAL ENTITIES - UMASS MEMORIAL HAS A NUMBER OF SUBSIDIARY ENTITIES THAT FUNCTION PRIMARILY TO DELIVER HEALTH CARE TO PATIENTS OR TO SUPPORT THE DELIVERY OF HEALTH CARE TO PATIENTS OF UMASS MEMORIAL. THEY ACCOMPLISH THIS THROUGH THE DELIVERY OF HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THEY ALSO ACCOMPLISH THIS BY PROVIDING SUPPORT, OR PATIENT ADVOCACY SERVICES TO THE PATIENTS OF UMASS MEMORIAL, CENTRAL NEW ENGLAND, AND OTHER GEOGRAPHIES.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsCLINTON HOSPITAL ASSOC.: PAULHUS, ROBERT (BOARD MEMBER) AND PAUL CHERUBINI (BOARD MEMBER) - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersTHERE ARE NO CLASSES OF MEMBERS. THE VOTING RIGHTS OF EACH MEMBER'S BOARD ARE ABSOLUTE.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE MAJORITY OF ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (UMMHC - Parent) THAT ELECTS THE BOARD OF TRUSTEES. THERE ARE NO CLASSES OF MEMBERS. THE MAJORITY OF THE ENTITIES RESERVE TO THE MEMBER THE POWER TO REMOVE TRUSTEES, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE MAJORITY OF THE ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (UMMHC - Parent) WITH THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ENTITY, WHICH IS EXERCISED BY THAT MEMBER'S BOARD OF TRUSTEES. THERE ARE NO CLASSES OF MEMBERS. THUS, THE VOTING RIGHTS OF A MEMBER BOARD ARE ABSOLUTE. GENERALLY, THE SOLE MEMBER OF EACH ENTITY RESERVES THE POWER TO APPROVE MAJOR TRANSACTIONS; TO MERGE, CONSOLIDATE OR LIQUIDATE THE CORPORATION'S ASSETS; TO ADOPT ANNUAL OPERATING AND CAPITAL BUDGETS AND AMENDMENTS; TO ENTER INTO LOAN AGREEMENTS AND/OR GUARANTEES; TO APPOINT AND/OR ELECT THE PRESIDENT AND/OR CEO; TO ELECT AND/OR APPOINT AND REMOVE TRUSTEES, FILL VACANCIES, TO INCREASE OR DECREASE THE SIZE OF THE BOARD; AND TO APPROVE UNBUDGETED EXPENDITURES.
Form 990, Part VI, Line 11b Review of form 990 by governing bodySECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD. THE COMPLIANCE COMMITTEE OF THE BOARD REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990, INCLUDING THE ABOVE SCHEDULES 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 policyTHE 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 Dept. of Compliance AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH DECISIONS. Any conflicts identified are 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 officialCompensation 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 consultant is hired by and reports to the Compensation Committee of the Board and provides 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 meet to review and vote on the compensation for the CEO and key personnel. The Compensation Committee voted and approved the CEO compensation at their annual meeting in March 2017. All other key personnel were voted and approved at the annual meeting in December 2016.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesTier Title Review date: A President, CEO March 2017 B Exec VP/COO UMMMG December 2016 B President, UMMH & CAO/CLO, UMMHC December 2016 B Chief Physician Executive December 2016 B President, Medical Center December 2016 B Exec VP, CFO December 2016 C President, Clinton Hospital Assoc. December 2016 C SVP, Chf of Staff &Chf Mktg Ofc December 2016 C Sr VP, Community Practices December 2016 C VP/Chief Financial Officer Med Center December 2016 C VP, Chief Corporate Compliance December 2016 C VP of Finance/Corp Controller December 2016 C Sr VP, Operations (UMMMC) December 2016 C Sr VP, Operations (UMMMC) December 2016 C Sr VP, Chief Facilities Officer December 2016 C Sr VP, Operations (UMMMC) December 2016 C SVP, Pop Hlth & President, ACO December 2016 C Sr VP, General Counsel-PGL December 2016 C Sr VP, Chief Info Officer December 2016 C Sr VP, Chief HR Officer December 2016 C Exec VP, COO December 2016 C President, HealthAlliance December 2016 C President, Marlborough Hospital December 2016 C President, Communty HlthLink December 2016
Form 990, Part VI, Line 19 Required documents available to the publicUMASS 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 VIII, Line 11d Other Miscellaneous RevenueRebate income - Total Revenue: 1738, Related or Exempt Function Revenue: 1713, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 25;
Form 990, Part IX, Line 11g Other FeesRecruitment fees - Total Expense: 1028059, Program Service Expense: 977525, Management and General Expenses: 50534, Fundraising Expenses: ; Clinical engineering services - Total Expense: 1347285, Program Service Expense: 1283738, Management and General Expenses: 63547, Fundraising Expenses: ; Medical School participation payment & MES & AIF - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Professional Medical Services - Total Expense: 24939027, Program Service Expense: 24763955, Management and General Expenses: 175072, Fundraising Expenses: ; Transcription Services - Total Expense: 4255938, Program Service Expense: 3532003, Management and General Expenses: 723935, Fundraising Expenses: ; Answering Services - Total Expense: 203760, Program Service Expense: 197873, Management and General Expenses: 5551, Fundraising Expenses: 336; Collection Agency Services - Total Expense: 4125653, Program Service Expense: 2932126, Management and General Expenses: 1193527, Fundraising Expenses: ; Outside Lab Services - Total Expense: 15552227, Program Service Expense: 15552227, Management and General Expenses: , Fundraising Expenses: ; Linen Services - Total Expense: 4037815, Program Service Expense: 4037815, Management and General Expenses: , Fundraising Expenses: ; Purchased Temporary Help - Total Expense: 21657979, Program Service Expense: 18141939, Management and General Expenses: 3516040, Fundraising Expenses: ; Medical School interns and residents services - Total Expense: 41509771, Program Service Expense: 41509771, Management and General Expenses: , Fundraising Expenses: ; Purchased Medical School services - Total Expense: 37780827, Program Service Expense: 37780827, Management and General Expenses: , Fundraising Expenses: ; Housekeeping Services - Total Expense: 3973676, Program Service Expense: 3175049, Management and General Expenses: 798627, Fundraising Expenses: ; Valet Parking Services - Total Expense: 3600335, Program Service Expense: 2880268, Management and General Expenses: 720067, Fundraising Expenses: ; Coding,Billing, and Staffing Services - Total Expense: 13802666, Program Service Expense: 8543072, Management and General Expenses: 5259594, Fundraising Expenses: ; HR FMLA services - Total Expense: 582792, Program Service Expense: 466234, Management and General Expenses: 116558, Fundraising Expenses: ; Landscaping Services - Total Expense: 518370, Program Service Expense: 414696, Management and General Expenses: 103674, Fundraising Expenses: ; Other - Total Expense: 8123683, Program Service Expense: 7909909, Management and General Expenses: 111369, Fundraising Expenses: 102405; Affiliate Purchased Services - Total Expense: 2847501, Program Service Expense: 2847501, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesNET ASSETS RELEASED FROM RESTRICTION (FOR PPE) - 6019119; NET ASSETS RELEASED FROM RESTRICTIONS (FOR OPERATIONS) - 5183954; PENSION-RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST - 75041952; TRANSFERS (TO) FROM RELATED PARTIES - -XXX-XX-XXXX; CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST - -3832391; TEMPORARY RESTRICTED EXPENDITURES - -3334729; PLEDGE RECEIVABLES, WRITE OFFS AND ADJUSTMENTS - 23331; MISC. - -26;
Form 990, Part XII, Line 2c Change of oversight process or selection processTHE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM ON A CONSOLIDATED BASIS. THE ORGANIZATION HAS AN AUDIT COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT ACCOUNTING FIRM.
Page 1 Line Hc 15 Members of Group exemption number 3642UMASS MEMORIAL HEALTH CARE, INC. AND AFFILIATES EIN: 91-2155626 FYE: 9/30/2017 306 Belmont Street, Worcester, MA 01604 The Clinton Hospital Association 201 Highland Street, Clinton, MA 01510 EIN: 04-1185520 FYE: 9/30/2017 Marlborough Hospital 157 Union Street, Marlborough, MA 01752 EIN: 04-2104693 FYE: 9/30/2017 UMass Memorial Behavioral Health System, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3374724 FYE: 9/30/2017 UMass Memorial Community Hospitals, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3296271 FYE: 9/30/2017 UMass Memorial Health Ventures, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 22-2605679 FYE: 9/30/2017 UMass Memorial Medical Center, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3358564 FYE: 9/30/2017 UMass Memorial Medical Group, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-2911067 FYE: 9/30/2017 UMass Memorial Realty, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-2805630 FYE: 9/30/2017 Community HealthLink, Inc. 72 Jaques Avenue, Worcester, MA 01610 EIN: 04-2626179 FYE: 9/30/2017 Central New England HealthAlliance, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-3172496 FYE: 9/30/2017 Coordinated Primary Care, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-3210002 FYE: 9/30/2017 HealthAlliance Home Health and Hospice, Inc. 25 Tucker Road, Leominster, MA 01453 EIN: 04-2932308 FYE: 9/30/2017 HealthAlliance Hospitals, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-2103555 FYE: 9/30/2017 UMass Memorial Accountable Care Organization, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 46-2871359 FYE: 9/30/2017
Part VII Section A Complete list of Group 990 Board Members by entity - Part 1 of 3Entity & EIN#: UMass Memorial Medical Center, Inc. #04-3358564: Officers: Patrick L. Muldoon President & CEO, UMass Memorial Medical Center, Inc Sergio Melgar Treasurer, UMass Memorial Medical Center, Inc. Douglas S. Brown Secretary, UMass Memorial Medical Center, Inc. Katharine Bolland Eshghi Assistant Secretary, UMass Memorial Medical Center, Inc. Richard Siegrist Chairperson, UMass Memorial Medical Center, Inc Directors: David L. Bennett Director, UMass Memorial Medical Center, Inc. Edward J. Parry, III Director, UMass Memorial Medical Center, Inc. O. Nsidinanya Okike, MD Director, UMass Memorial Medical Center, Inc. Terence Flotte, MD Director, UMass Memorial Medical Center, Inc. Michael Collins, MD Director, UMass Memorial Medical Center, Inc. Edward D'Alelio Director, UMass Memorial Medical Center, Inc. Mary Ellen McNamara Director, UMass Memorial Medical Center, Inc. Harris L. MacNeill Director, UMass Memorial Medical Center, Inc. Jack Wilson Director, UMass Memorial Medical Center, Inc. Paulette Seymour-Route, Ph.D. Director, UMass Memorial Medical Center, Inc. Robert W. Finberg, MD Director, UMass Memorial Medical Center, Inc. Paul Kangas Director, UMass Memorial Medical Center, Inc. Richard K. Bennett Director, UMass Memorial Medical Center, Inc. Lynda M. Young, MD Director, UMass Memorial Medical Center, Inc. Eric W. Dickson, MD Director, UMass Memorial Medical Center, Inc. Peter Knox Director, UMass Memorial Medical Center, Inc. Elvira Guardiola Director, UMass Memorial Medical Center, Inc. Raymond Pawlicki Director, UMass Memorial Medical Center, Inc. Entity & EIN#: UMass Memorial Health Ventures, Inc. #22-2605679 Officers: Cheryl Lapriore President & Executive Director, UMass Memorial Health Ventures, Inc. Sergio Melgar Treasurer, UMass Memorial Health Ventures, Inc. Francis W. Smith Clerk, UMass Memorial Health Ventures, Inc. Paul Kangas Chairperson, UMass Memorial Health Ventures, Inc. Directors: Frederick G. Crocker Director, UMass Memorial Health Ventures, Inc. Gerard P. Richer Director, UMass Memorial Health Ventures, Inc. Cheryl Lapriore Director, UMass Memorial Health Ventures, Inc. Eric W. Dickson, MD Director, UMass Memorial Health Ventures, Inc. Steven Roach Director, UMass Memorial Health Ventures, Inc. Therese Day Director, UMass Memorial Health Ventures, Inc. Entity & EIN#: UMass Memorial Realty, Inc. #04-2805630 Officers: Dana Swenson President, UMass Memorial Realty, Inc. Sergio Melgar Treasurer, UMass Memorial Realty, Inc. Francis W. Smith Secretary, UMass Memorial Realty, Inc. Directors: Dix F. Davis Director, UMass Memorial Realty, Inc. David L. Bennett Director, UMass Memorial Realty, Inc. Dana Swenson Director, UMass Memorial Realty, Inc. Eric W. Dickson, MD Director, UMass Memorial Realty, Inc. Entity & EIN#: UMass Memorial Medical Group, Inc. #04-2911067 Officers: Stephen E. Tosi, MD President, UMass Memorial Medical Group, Inc. Michele Streeter Treasurer, UMass Memorial Medical Group, Inc. Francis W. Smith Secretary, UMass Memorial Medical Group, Inc. Lynda M. Young, MD Chairperson, UMass Memorial Medical Group, Inc. Directors: Harris L. MacNeill Director, UMass Memorial Medical Group, Inc. Daniel Lasser, MD Director, UMass Memorial Medical Group, Inc. R. Kevin Ferguson, MD Director, UMass Memorial Medical Group, Inc. Kathryn Kennedy, MD Director, UMass Memorial Medical Group, Inc. Terence Flotte, MD Director, UMass Memorial Medical Group, Inc. Eric W. Dickson, MD Director, UMass Memorial Medical Group, Inc. Jeffrey N. Metzmaker, MD Director, UMass Memorial Medical Group, Inc. Mary Ellen McNamara Director, UMass Memorial Medical Group, Inc. Dominic Nompleggi, MD Director, UMass Memorial Medical Group, Inc. J. Christopher Cutler, FACHE Director, UMass Memorial Medical Group, Inc. Entity & EIN#: UMass Memorial Community Hospitals, Inc. #04-3296271 Officers: Douglas S. Brown President & Chairperson, UMass Memorial Community Hospitals, Inc. Sergio Melgar Treasurer, UMass Memorial Community Hospitals, Inc. John Glassburn Secretary, UMass Memorial Community Hospitals, Inc. Directors: John Clementi Director, UMass Memorial Community Hospitals, Inc. Paul D'Onfro Director, UMass Memorial Community Hospitals, Inc. William McGrail, Esquire Director, UMass Memorial Community Hospitals, Inc. Fernando Catalina, MD Director, UMass Memorial Community Hospitals, Inc. Eric W. Dickson, MD Director, UMass Memorial Community Hospitals, Inc. Sergio Melgar Director, UMass Memorial Community Hospitals, Inc. Deborah Weymouth Director, UMass Memorial Community Hospitals, Inc. Steven Roach Director, UMass Memorial Community Hospitals, Inc. William Corbett, MD Director, UMass Memorial Community Hospitals, Inc. Christopher Philbin Director, UMass Memorial Community Hospitals, Inc. Lisa Colombo Director, UMass Memorial Community Hospitals, Inc. Michael D. Murphy Director, UMass Memorial Community Hospitals, Inc. Richard Siegrist Director, UMass Memorial Community Hospitals, Inc. Entity & EIN#: Marlborough Hospital #04-2104693 Officers: Steven Roach President, Marlborough Hospital Steven McCue Treasurer, Marlborough Hospital Francis W. Smith Secretary, Marlborough Hospital Ann-Maria D'Ambra Assistant Secretary, Marlborough Hospital Richard K. Bennett Chairperson, Marlborough Hospital Directors: Michael D. Murphy Vice Chairperson, Marlborough Hospital Philip E. Purcell Director, Marlborough Hospital Ann K. Molloy Director, Marlborough Hospital Gerard P. Richer Director, Marlborough Hospital William Corbett, MD Director, Marlborough Hospital Daniel Carlucci, MD Director, Marlborough Hospital Douglas S. Brown Director, Marlborough Hospital Francis Hurley Director, Marlborough Hospital Douglas Ziedonis, MD Director, Marlborough Hospital Steven Roach Director, Marlborough Hospital David Walton Director, Marlborough Hospital Benjamin H. Colonero Jr. Director, Marlborough Hospital Vibha Sharma, MD Director, Marlborough Hospital Kimberly Eisenstock, MD Director, Marlborough Hospital Habib A. Sioufi, MD Director, Marlborough Hospital William Fischer Director, Marlborough Hospital Entity & EIN#: Clinton Hospital Association #04-1185520 Officers: Lisa Colombo President, Clinton Hospital Association Jeffrey Olson Treasurer, Clinton Hospital Association John Glassburn Secretary, Clinton Hospital Association Maureen Croteau Assistant Clerk, Clinton Hospital Association William McGrail, Esquire Chairperson, Clinton Hospital Association Directors: Jeanne Paulino Director, Clinton Hospital Association Douglas S. Brown Director, Clinton Hospital Association Robert J. Paulhus, Jr. Director, Clinton Hospital Association Habib A. Sioufi, MD Director, Clinton Hospital Association Catherine Rossi Director, Clinton Hospital Association Edward J. Connor Director, Clinton Hospital Association Luis J. Maseda Director, Clinton Hospital Association Christopher Philbin Director, Clinton Hospital Association William Corbett, MD Director, Clinton Hospital Association Michael W. Ames Director, Clinton Hospital Association Robert Farragher Director, Clinton Hospital Association
Part VII Section A Complete list of Group 990 Board Members by entity - Part 2 of 3Entity & EIN#: UMass Memorial Behavioral Health System, Inc. #04-3374724 Officers: Douglas S. Brown President and Chairperson, UMass Memorial Behavioral Health System, Inc Douglas Ziedonis, MD President and Chairperson until 3/8/17, UMass Memorial Behavioral Health System, Inc. Sergio Melgar Treasurer, UMass Memorial Behavioral Health System, Inc. William H. O'Brien Secretary, UMass Memorial Behavioral Health System, Inc. Directors: Alan P. Brown, MD Director, UMass Memorial Behavioral Health System, Inc. Joanne Johnson Director, UMass Memorial Behavioral Health System, Inc. Cynthia M. McMullen, Ed.D. Director, UMass Memorial Behavioral Health System, Inc. John Shea, Esquire Director, UMass Memorial Behavioral Health System, Inc. Edward Manzi Director, UMass Memorial Behavioral Health System, Inc. Cheryl Lapriore Director, UMass Memorial Behavioral Health System, Inc. Sergio Melgar Director, UMass Memorial Behavioral Health System, Inc. Patrick L. Muldoon Director, UMass Memorial Behavioral Health System, Inc. Amy Grassette Director, UMass Memorial Behavioral Health System, Inc. Jim Notaro Director, UMass Memorial Behavioral Health System, Inc. Jessica McGarry Director, UMass Memorial Behavioral Health System, Inc. Sheldon Benjamin, MD Director, UMass Memorial Behavioral Health System, Inc. Entity & EIN#: Community HealthLink, Inc. #04-2626179 Officers: Nicole Gagne President, Community HealthLink, Inc. Sergio Melgar Treasurer, Community HealthLink, Inc. Francis W. Smith Clerk, Community HealthLink, Inc. Directors: John Shea, Esquire Director, Community HealthLink, Inc. Cynthia M. McMullen, Ed.D. Director, Community HealthLink, Inc. Alan P. Brown, MD Director, Community HealthLink, Inc. Joanne Johnson Director, Community HealthLink, Inc. Douglas S. Brown Director, Community HealthLink, Inc. Cheryl Lapriore Director, Community HealthLink, Inc. Sergio Melgar Director, Community HealthLink, Inc. Patrick L. Muldoon Director, Community HealthLink, Inc. Amy Grassette Director, Community HealthLink, Inc. Jim Notaro Director, Community HealthLink, Inc. Jessica McGarry Director, Community HealthLink, Inc. Sheldon Benjamin, MD Director, Community HealthLink, Inc. Edward Manzi Director until 5/18/17, Community HealthLink, Inc. Douglas Ziedonis, MD Director until 3/8/17, Community HealthLink, Inc. Entity & EIN#: Central New England HealthAlliance, Inc. #04-3172496 Officers: Deborah Weymouth President, Central New England HealthAlliance, Inc. John Bronhard Treasurer, Central New England HealthAlliance, Inc. Francis W. Smith Secretary, Central New England HealthAlliance,Inc Katharine Bolland Eshghi Secretary until 6/30/17, Central New England HealthAlliance, Inc. Lynn A. Morin Assistant Clerk, Central New England HealthAlliance, Inc. Fernando Catalina, MD Chairperson, Central New England HealthAlliance, Inc. Directors: Paul D'Onfro Vice Chairperson, Central New England HealthAlliance, Inc. Gail Allen Director, Central New England HealthAlliance, Inc. John Clementi Director, Central New England HealthAlliance, Inc. Leslie Bovenzi Director, Central New England HealthAlliance, Inc. Michael Rivard Director, Central New England HealthAlliance, Inc. Mary Whitney Director, Central New England HealthAlliance, Inc. Robert Leslie Shelton, MD Director, Central New England HealthAlliance, Inc. Douglas S. Brown Director, Central New England HealthAlliance, Inc. Donata Martin Director, Central New England HealthAlliance, Inc. Deborah Weymouth Director, Central New England HealthAlliance, Inc. Christie Hager Director, Central New England HealthAlliance, Inc. Michael Mahan Director, Central New England HealthAlliance, Inc. Nicholas Mercadante, MD Director, Central New England HealthAlliance, Inc. Shipen Li, MD Director, Central New England HealthAlliance, Inc.
Part VII Section A Complete list of Group 990 Board Members by entity - Part 3 of 3Entity & EIN#: Coordinated Primary Care, Inc. #04-3210002 Officers: Deborah Weymouth President & Chairperson, Coordinated Primary Care, Inc. John Bronhard Treasurer, Coordinated Primary Care, Inc. Lynn A. Morin Secretary, Coordinated Primary Care, Inc. Directors: Daniel J. O'Leary, MD Director, Coordinated Primary Care, Inc. Paul D'Onfro Director, Coordinated Primary Care, Inc. Michael Rivard Director, Coordinated Primary Care, Inc. John Bronhard Director, Coordinated Primary Care, Inc. William Corbett, MD Director, Coordinated Primary Care, Inc. Entity & EIN#: HealthAlliance Home Health and Hospice, Inc. #04-2932308 Officers: Deborah Weymouth President, HealthAlliance Home Health and Hospice, Inc. John Bronhard Treasurer, HealthAlliance Home Health and Hospice, Inc. Lynn A. Morin Secretary, HealthAlliance Home Health and Hospice, Inc. Leslie Bovenzi Chairperson, HealthAlliance Home Health and Hospice, Inc. Directors: Anthony J. Mercadante Director, HealthAlliance Home Health and Hospice, Inc. Gail Allen Director, HealthAlliance Home Health and Hospice, Inc. Mary Whitney Director, HealthAlliance Home Health and Hospice, Inc. Deborah Weymouth Director, HealthAlliance Home Health and Hospice, Inc. Lynne Farrell Director, HealthAlliance Home Health and Hospice, Inc. Paul D'Onfro Director, HealthAlliance Home Health and Hospice, Inc. Entity & EIN#: HealthAlliance Hospitals, Inc. #04-2103555 Officers: Deborah Weymouth President, HealthAlliance Hospitals, Inc. John Bronhard Treasurer, HealthAlliance Hospitals, Inc. Katharine Bolland Eshghi Secretary, HealthAlliance Hospitals, Inc. Lynn A. Morin Assistant Clerk, HealthAlliance Hospitals, Inc. Fernando Catalina, MD Chairperson, HealthAlliance Hospitals, Inc. Directors: Paul D'Onfro Vice Chairperson, HealthAlliance Hospitals, Inc. John Clementi Director, HealthAlliance Hospitals, Inc. Leslie Bovenzi Director, HealthAlliance Hospitals, Inc. Gail Allen Director, HealthAlliance Hospitals, Inc. Michael Rivard Director, HealthAlliance Hospitals, Inc. Robert Leslie Shelton, MD Director, HealthAlliance Hospitals, Inc. Douglas S. Brown Director, HealthAlliance Hospitals, Inc. Donata Martin Director, HealthAlliance Hospitals, Inc. Deborah Weymouth Director, HealthAlliance Hospitals, Inc. Mary Whitney Director, HealthAlliance Hospitals, Inc. Christie Hager Director, HealthAlliance Hospitals, Inc. Michael Mahan Director, HealthAlliance Hospitals, Inc. Nicholas Mercadante, MD Director, HealthAlliance Hospitals, Inc. Shipen Li, MD Director, HealthAlliance Hospitals, Inc. Entity & EIN#: UMass Memorial Accountable Care Organization, Inc. #46-2871359: Officers: John Greenwood President, UMass Memorial Accountable Care Organization, Inc. Jeanne Shirshac Treasurer, UMass Memorial Accountable Care Organization, Inc. Francis W. Smith Clerk, UMass Memorial Accountable Care Organization, Inc. Eric W. Dickson, MD Chairperson, UMass Memorial Accountable Care Organization, Inc. Directors: Howard Alfred, MD Director, UMass Memorial Accountable Care Organization, Inc. Peter Bagley, MD Director, UMass Memorial Accountable Care Organization, Inc. Douglas S. Brown Director, UMass Memorial Accountable Care Organization, Inc. William Corbett, MD Director, UMass Memorial Accountable Care Organization, Inc. Jordan Eisenstock, MD Director, UMass Memorial Accountable Care Organization, Inc. David Harlan, MD Director, UMass Memorial Accountable Care Organization, Inc. Barbara Kupfer Director, UMass Memorial Accountable Care Organization, Inc. Daniel Lasser, MD Director, UMass Memorial Accountable Care Organization, Inc. Lalita Matta, MD Director, UMass Memorial Accountable Care Organization, Inc. Antonia McGuire Director, UMass Memorial Accountable Care Organization, Inc. Michele Pici, MD Director, UMass Memorial Accountable Care Organization, Inc. Patrick L. Muldoon Director, UMass Memorial Accountable Care Organization, Inc. Stephen E. Tosi, MD Director, UMass Memorial Accountable Care Organization, Inc. John Greenwood Director, UMass Memorial Accountable Care Organization, Inc. Key Employees: John T. Randolph VP, Chief Corporate Compliance Barbara Fisher Sr. VP, Operations (UMMMC) James P. Cyr Sr. VP, Operations (UMMMC) Robert Feldmann VP, Corporate Controller Timothy A. Tarnowski Sr VP, Chief Info Officer Bart Metzger Sr VP, Chief HR Officer Jeffrey A. Smith, MD Executive VP, COO Alice A. Shakman Sr. VP, Operations (UMMMC) Cathy Jewell Sr VP, Chief Nursing Officer until 1/31/17 HIGHEST COMPENSATED EMPLOYEES - GROUP 990 Jennifer D. Walker, MD Physician, Division Chief of Cardiac Surgery - Med Group Demetrius Litwin, MD Physician, Chair of Surgery Dept - Med Group Adel Bozorgzadeh, MD Physician, Chief of Organ Transplantation - Med Group David C. Ayers, MD Physician, Chair of Orthopedics and Physical Rehab. - Med Group Ajit S. Puri, MD Physician, Division Chief of Neuroimaging and Intervention - Med Group FORMER Officers, Directors and Key Employees Todd A. Keating Former Treasurer until 2/14, UMass Memorial Health Care, Inc. and Director of other boards Robert Klugman, MD Former Chief Quality Officer, until 9/30/13 Carlos Iitsuka Former Director until 7/16, UMass Memorial Health Ventures, Inc. Sheila Daly Former President & Director until 1/16, Clinton Hospital Association Andrew Cocchiarella, MD Former Director until 3/16, Marlborough Hospital Margaret Hudlin, MD Former Chief Medical Officer/VP Perioperative Svcs, until 9/1/16 Patricia A. George Former VP & Deputy CIO, until 11/15
Part VII Section A Various board titles - Part 1 of 3Alan P. Brown, MD VICE CHAIR, ADLT PSY CLIN SVCS Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Amy Grassette Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Ann K. Molloy Director, Marlborough Hospital Ann-Maria D'Ambra EXECUTIVE ASSISTANT Assistant Secretary, Marlborough Hospital Anthony J. Mercadante Director, HealthAlliance Home Health and Hospice, Inc. Antonia McGuire Director, UMass Memorial Accountable Care Organization, Inc. Barbara Kupfer Director, UMass Memorial Accountable Care Organization, Inc. Benjamin H. Colonero Jr. Director, Marlborough Hospital Catherine Rossi VP, MANAGED CARE CONTRACTING Director, Clinton Hospital Association Cheryl Lapriore SVP,CHF OF STAFF&CHF MKTG OFC President & Executive Director, UMass Memorial Health Ventures, Inc. Director, UMass Memorial Health Ventures, Inc. Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Christie Hager Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Christopher Philbin VP, GOV'T/COMMUNITY RELATIONS Director, UMass Memorial Community Hospitals, Inc. Director, Clinton Hospital Association Cynthia M. McMullen, Ed.D. Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Dana Swenson SR VP,CHIEF FACILITIES OFFICER President, UMass Memorial Realty, Inc. Director, UMass Memorial Realty, Inc. Daniel Carlucci, MD Director, Marlborough Hospital Daniel J. O'Leary, MD VP Chief Medical Officer Director, Coordinated Primary Care, Inc. Daniel Lasser, MD CLINICAL DEPARTMENT CHAIR Director, UMass Memorial Medical Group, Inc. Director, UMass Memorial Accountable Care Organization, Inc. David Harlan, MD CHIEF, DIABETES-DIR, DIAB COE Director, UMass Memorial Accountable Care Organization, Inc. David L. Bennett Director, UMass Memorial Realty, Inc. Director, UMass Memorial Medical Center, Inc. David Walton Director, Marlborough Hospital Deborah Weymouth President of HealthAlliance Director, UMass Memorial Community Hospitals, Inc. President, Central New England HealthAlliance, Inc. Director, Central New England HealthAlliance, Inc. President & Chairperson, Coordinated Primary Care, Inc. President, HealthAlliance Home Health and Hospice, Inc. Director, HealthAlliance Home Health and Hospice, Inc. President, HealthAlliance Hospitals, Inc. Director, HealthAlliance Hospitals, Inc. Dix F. Davis Director, UMass Memorial Realty, Inc. Dominic Nompleggi, MD Director, UMass Memorial Medical Group, Inc. Donata Martin Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Douglas S. Brown PRESIDENT,UMMH & CAO/CLO,UMMHC Secretary, UMass Memorial Medical Center, Inc. President & Chairperson, UMass Memorial Community Hospitals, Inc. Director, Marlborough Hospital Director, Clinton Hospital Association President and Chairperson, UMass Memorial Behavioral Health System, Inc Director, Community HealthLink, Inc. Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Director, UMass Memorial Accountable Care Organization, Inc. Douglas Ziedonis, MD CLINICAL DEPARTMENT CHAIR Director, Marlborough Hospital President and Chairperson until 3/8/17, UMass Memorial Behavioral Health System, Inc. Director until 3/8/17, Community HealthLink, Inc. Edward D'Alelio Director, UMass Memorial Medical Center, Inc. Edward J. Connor Director, Clinton Hospital Association Edward J. Parry, III Director, UMass Memorial Medical Center, Inc. Edward Manzi Director, UMass Memorial Behavioral Health System, Inc. Director until 5/18/17, Community HealthLink, Inc. Elvira Guardiola Director, UMass Memorial Medical Center, Inc. Eric W. Dickson, MD President and CEO of UMass Memorial Health Care, Inc. Director, UMass Memorial Medical Center, Inc. Director, UMass Memorial Health Ventures, Inc. Director, UMass Memorial Realty, Inc. Director, UMass Memorial Medical Group, Inc. Director, UMass Memorial Community Hospitals, Inc. Chairperson, UMass Memorial Accountable Care Organization, Inc. Fernando Catalina, MD Director, UMass Memorial Community Hospitals, Inc. Chairperson, Central New England HealthAlliance, Inc. Chairperson, HealthAlliance Hospitals, Inc. Francis Hurley Director, Marlborough Hospital Francis W. Smith AVP,ASSOC GENERAL COUNSEL-PGL Clerk, UMass Memorial Health Ventures, Inc. Secretary, UMass Memorial Realty, Inc. Secretary, UMass Memorial Medical Group, Inc. Secretary, Marlborough Hospital Clerk, Community HealthLink, Inc. Secretary, Central New England HealthAlliance,Inc Clerk, UMass Memorial Accountable Care Organization, Inc.
Part VII Section A Various board titles - Part 2 of 3Frederick G. Crocker Director, UMass Memorial Health Ventures, Inc. Gail Allen Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Home Health and Hospice, Inc. Director, HealthAlliance Hospitals, Inc. Gerard P. Richer Director, UMass Memorial Health Ventures, Inc. Director, Marlborough Hospital Habib A. Sioufi, MD DIR, AFFILIATED LABS Director, Marlborough Hospital Director, Clinton Hospital Association Harris L. MacNeill Director, UMass Memorial Medical Center, Inc. Director, UMass Memorial Medical Group, Inc. Howard Alfred, MD DIR, RENAL DIALYSIS Director, UMass Memorial Accountable Care Organization, Inc. J. Christopher Cutler, FACHE Director, UMass Memorial Medical Group, Inc. Jack Wilson Director, UMass Memorial Medical Center, Inc. Jeanne Paulino Director, Clinton Hospital Association Jeanne Shirshac VP, HEALTH POLICY/PUBLIC PROG Treasurer, UMass Memorial Accountable Care Organization, Inc. Jeffrey N. Metzmaker, MD PHYSICIAN Director, UMass Memorial Medical Group, Inc. Jeffrey Olson CFO Clinton Hospital Treasurer, Clinton Hospital Association Jessica McGarry Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Jim Notaro Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Joanne Johnson Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. John Bronhard VP CFO HealthAlliance Treasurer, Central New England HealthAlliance, Inc. Treasurer, Coordinated Primary Care, Inc. Director, Coordinated Primary Care, Inc. Treasurer, HealthAlliance Home Health and Hospice, Inc. Treasurer, HealthAlliance Hospitals, Inc. John Clementi Director, UMass Memorial Community Hospitals, Inc. Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. John Glassburn ASSOC GEN'L COUNSEL-CORP/BUSIN Secretary, UMass Memorial Community Hospitals, Inc. Secretary, Clinton Hospital Association John Greenwood SVP, POP HLTH & PRESIDENT, ACO President, UMass Memorial Accountable Care Organization, Inc. Director, UMass Memorial Accountable Care Organization, Inc. John Shea, Esquire Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Jordan Eisenstock, MD Director, UMass Memorial Accountable Care Organization, Inc. Katharine Bolland Eshghi SR VP, GENERAL COUNSEL-PGL Assistant Secretary, UMass Memorial Medical Center, Inc. Secretary until 6/30/17, Central New England HealthAlliance, Inc. Secretary, HealthAlliance Hospitals, Inc. Kathryn Kennedy, MD DIR, CLINICAL MARL HOSP EM Director, UMass Memorial Medical Group, Inc. Kimberly Eisenstock, MD CHIEF, CLINICAL HOSPITAL MED Director, Marlborough Hospital Lalita Matta, MD Director, UMass Memorial Accountable Care Organization, Inc. Leslie Bovenzi Director, Central New England HealthAlliance, Inc. Chairperson, HealthAlliance Home Health and Hospice, Inc. Director, HealthAlliance Hospitals, Inc. Lisa Colombo President of Clinton Hospital Association Director, UMass Memorial Community Hospitals, Inc. President, Clinton Hospital Association Luis J. Maseda Director, Clinton Hospital Association Lynda M. Young, MD Director, UMass Memorial Medical Center, Inc. Chairperson, UMass Memorial Medical Group, Inc. Lynn A. Morin Executive Assistant Assistant Clerk, Central New England HealthAlliance, Inc. Secretary, Coordinated Primary Care, Inc. Secretary, HealthAlliance Home Health and Hospice, Inc. Assistant Clerk, HealthAlliance Hospitals, Inc. Lynne Farrell Director, HealthAlliance Home Health and Hospice, Inc. Mary Ellen McNamara Director, UMass Memorial Medical Center, Inc. Director, UMass Memorial Medical Group, Inc. Mary Whitney Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Home Health and Hospice, Inc. Director, HealthAlliance Hospitals, Inc. Maureen Croteau ADMINISTRATION OFFICE MANAGER Assistant Clerk, Clinton Hospital Association Michael Collins, MD Director, UMass Memorial Medical Center, Inc. Michael D. Murphy Director, UMass Memorial Community Hospitals, Inc. Vice Chairperson, Marlborough Hospital Michael Mahan Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Michael Rivard Director, Central New England HealthAlliance, Inc. Director, Coordinated Primary Care, Inc. Director, HealthAlliance Hospitals, Inc. Michael W. Ames Director, Clinton Hospital Association
Part VII Section A Various Board Titles - Part 3 of 3Michele Pici, MD Director, UMass Memorial Accountable Care Organization, Inc. Michele Streeter EXEC VP/COO UMMMG Treasurer, UMass Memorial Medical Group, Inc. Nicholas Mercadante, MD Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Nicole Gagne President of UMBHS President, Community HealthLink, Inc. O. Nsidinanya Okike, MD PATIENT EXPERIENCE OFFICER Director, UMass Memorial Medical Center, Inc. Patrick L. Muldoon PRESIDENT, MEDICAL CENTER President & CEO, UMass Memorial Medical Center, Inc Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Director, UMass Memorial Accountable Care Organization, Inc. Paul D'Onfro Director, UMass Memorial Community Hospitals, Inc. Vice Chairperson, Central New England HealthAlliance, Inc. Director, Coordinated Primary Care, Inc. Director, HealthAlliance Home Health and Hospice, Inc. Vice Chairperson, HealthAlliance Hospitals, Inc. Paul Kangas Director, UMass Memorial Medical Center, Inc. Chairperson, UMass Memorial Health Ventures, Inc. Paulette Seymour-Route, Ph.D. Independent Contractor Director, UMass Memorial Medical Center, Inc. Peter Bagley, MD MED DIR, CCU Director, UMass Memorial Accountable Care Organization, Inc. Peter Knox Director, UMass Memorial Medical Center, Inc. Philip E. Purcell Director, Marlborough Hospital R. Kevin Ferguson, MD PHYSICIAN Director, UMass Memorial Medical Group, Inc. Raymond Pawlicki Director, UMass Memorial Medical Center, Inc. Richard K. Bennett Director, UMass Memorial Medical Center, Inc. Chairperson, Marlborough Hospital Richard Siegrist Chairperson, UMass Memorial Medical Center, Inc Director, UMass Memorial Community Hospitals, Inc. Robert J. Paulhus, Jr. Director, Clinton Hospital Association Robert Leslie Shelton, MD Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Robert W. Finberg, MD CLINICAL DEPARTMENT CHAIR Director, UMass Memorial Medical Center, Inc. Sergio Melgar EXEC VP, CFO Treasurer, UMass Memorial Medical Center, Inc. Treasurer, UMass Memorial Health Ventures, Inc. Treasurer, UMass Memorial Realty, Inc. Treasurer, UMass Memorial Community Hospitals, Inc. Director, UMass Memorial Community Hospitals, Inc. Treasurer, UMass Memorial Behavioral Health System, Inc. Director, UMass Memorial Behavioral Health System, Inc. Treasurer, Community HealthLink, Inc. Director, Community HealthLink, Inc. Sheldon Benjamin, MD Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Shipen Li, MD PHYSICIAN Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Stephen E. Tosi, MD CHIEF PHYSICIAN EXECUTIVE President, UMass Memorial Medical Group, Inc. Director, UMass Memorial Accountable Care Organization, Inc. Steven McCue CFO Marlborough Hospital Treasurer, Marlborough Hospital Steven Roach President of Marlborough Hospital Director, UMass Memorial Health Ventures, Inc. Director, UMass Memorial Community Hospitals, Inc. President, Marlborough Hospital Director, Marlborough Hospital Terence Flotte, MD Director, UMass Memorial Medical Center, Inc. Director, UMass Memorial Medical Group, Inc. Therese Day VP/CFO Medical Center Director, UMass Memorial Health Ventures, Inc. Vibha Sharma, MD Director, Marlborough Hospital William Corbett, MD SR VP, COMMUNITY PRACTICES Director, UMass Memorial Community Hospitals, Inc. Director, Marlborough Hospital Director, Clinton Hospital Association Director, Coordinated Primary Care, Inc. Director, UMass Memorial Accountable Care Organization, Inc. William Fischer Director, Marlborough Hospital William H. O'Brien EXEC DIR, UMMBHS Secretary, UMass Memorial Behavioral Health System, Inc. William McGrail, Esquire Director, UMass Memorial Community Hospitals, Inc. Chairperson, Clinton Hospital Association

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
HEALTHALLIANCE REALTY CORPORATION
60 HOSPITAL ROADLEOMINSTERMA01473042560754REAL ESTATE MANAGEMENTMA501(c)(2)NAfalse
UMass Memorial Health Care Inc (Parent)
306 Belmont StreetWorcesterMA01604043358566Management of Healthcare SystemMA501(c)(3)nafalse11

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
UMASS MEMORIAL MRI OF MALRBOROUGH LLC
157 UNION STREETMARLBOROUGHMA01752202293995MAGNETIC RESONANCE IMAGINGMAMARLBOROUGH HOSPITALRelated$652,938$479,409falsefalse0.56
UMASS MEMORIAL HEALTHALLIANCE MRI CENTER LLC
60 HOSPITAL ROADLEOMINSTERMA01453043561571MAGNETIC RESONANCE IMAGINGMANARelated$905,538$1,154,438falsefalse0.6

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
MEMORIAL OFFICE CONDOMIUM TRUST
306 BELMONT STREETWORCESTERMA01604046616900CONDOMINIUM ASSOCIATIONMAUMASS MEMORIAL REALTY INCTrust-$8,057$220,7060.5369false
Commonwealth Professional Assurance Company Ltd
980226143InsuranceNAC CorporationfalseP O Box 1051 GTGrand Cayman,CJKY11102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HealthAlliance Realty Inc
J$397,784Fair value
HealthAlliance Realty Inc
P$314,160Fair value
UMass Memorial HealthAlliance MRI Center LLC
S$1,050,000Fair value
UMass Memorial MRI of Marlborough LLC
S$600,000Fair value