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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-03T15:00:25-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 175 Powder Forest Drive | AddressLine1Txt |
| City | Simsbury | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 060897902 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912155626 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UMass Memorial Health Care Inc & Affiliates | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UMAS | BusinessNameControlTxt |
| Phone | 5083340496 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 Belmont Street | AddressLine1Txt |
| City | Worcester | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01604 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Sergio Melgar | PersonNm |
| Person Title | EVP/CFO/Treasurer | PersonTitleTxt |
| Signature | 2018-08-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rachel Spurlock | PreparerPersonNm |
| PTIN | P00520729 | PTIN |
| Phone | 8606789200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sergio Melgar | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 Belmont Street | AddressLine1Txt |
| City | Worcester | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,492,357,381 | GrossReceiptsAmt |
| Group Return For Affiliates | Yes (true) | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (true) | AllAffiliatesIncludedInd |
| Group Exemption | 3642 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.umassmemorial.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Activity Or Mission | UMASS 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 Body | 163 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 87 | VotingMembersIndependentCnt |
| Total Employee | 14799 | TotalEmployeeCnt |
| Total Volunteers | 1309 | TotalVolunteersCnt |
| Total Gross UBI | $6,486,541 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,423,978 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,874,385 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,036,587 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,351,102,309 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,415,657,565 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,124,340 | PYInvestmentIncomeAmt |
| CY Investment Income | $16,948,021 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,584,610 | PYOtherRevenueAmt |
| CY Other Revenue | $8,957,306 | CYOtherRevenueAmt |
| PY Total Revenue | $2,380,685,644 | PYTotalRevenueAmt |
| CY Total Revenue | $2,454,599,479 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,312,920 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,148,896 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,221,720,336 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,264,578,152 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $64,000 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $7,396 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $716,253 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,117,155,900 | PYOtherExpensesAmt |
| CY Other Expenses | $1,177,407,890 | CYOtherExpensesAmt |
| PY Total Expenses | $2,341,253,156 | PYTotalExpensesAmt |
| CY Total Expenses | $2,444,142,334 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $39,432,488 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,457,145 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,818,569,543 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,879,641,685 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,256,756,697 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,358,506,029 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $561,812,846 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $521,135,656 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | UMASS 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,353,749,140 | ExpenseAmt |
| Grant | $2,088,996 | GrantAmt |
| Revenue | $1,638,919,741 | RevenueAmt |
| Desc | UMASS 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: 134,564 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $487,978,779 | ExpenseAmt |
| Grant | $22,500 | GrantAmt |
| Revenue | $388,886,624 | RevenueAmt |
| Desc | UMASS 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $226,892,867 | ExpenseAmt |
| Grant | $9,400 | GrantAmt |
| Revenue | $285,701,918 | RevenueAmt |
| Desc | UMASS 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: 87,997 | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $81,677,287 | ExpenseAmt |
| Grant | $28,000 | GrantAmt |
| Revenue | $97,430,084 | RevenueAmt |
| Desc | 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $81,677,287 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $28,000 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $97,430,084 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $2,150,298,073 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1551 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 14799 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 163 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 87 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Robert Feldmann | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5083340496 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 Belmont Street | AddressLine1Txt |
| City | Worcester | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01604 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (128 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| John Bronhard | ||||||||||
| Treasurer, HealthAlliance Hospitals, Inc., Officer/Dir various | 40.0 | 0 | Yes (X) | Yes (X) | $327,123 | $0 | $31,084 | |||
| Douglas S Brown | ||||||||||
| Secretary, UMM Health Care, Inc., Officer/Dir various | 5.0 | 40.0 | Yes (X) | Yes (X) | $0 | $830,984 | $205,231 | |||
| Lisa Colombo | ||||||||||
| President, Clinton Hospital Assoc., Director of Comm Hospitals Inc. | 40.0 | 5.0 | Yes (X) | Yes (X) | $303,633 | $0 | $42,536 | |||
| Eric W Dickson MD | ||||||||||
| President & CEO/Director, UMM Health Care, Inc., Director various | 5.0 | 40.0 | Yes (X) | Yes (X) | $0 | $1,629,026 | $383,400 | |||
| John Greenwood | ||||||||||
| President/Director, UMM Accountable Care Organization, Inc. | 40.0 | 5.0 | Yes (X) | Yes (X) | $404,650 | $0 | $105,818 | |||
| Cheryl M Lapriore | ||||||||||
| President/Director, UMM Health Ventures, Inc., Director various | 5.0 | 40.0 | Yes (X) | Yes (X) | $0 | $421,491 | $116,074 | |||
| Sergio Melgar | ||||||||||
| Treasurer, UMM Health Care, Inc., Officer/Dir various | 5.0 | 40.0 | Yes (X) | Yes (X) | $0 | $1,004,137 | $176,146 | |||
| Patrick Muldoon | ||||||||||
| President, UMM Med Ctr, Inc., Director various | 40.0 | 5.0 | Yes (X) | Yes (X) | $1,180,497 | $0 | $284,407 | |||
| Steven Roach | ||||||||||
| President, Marlborough Hospital, Director various | 40.0 | 5.0 | Yes (X) | Yes (X) | $511,191 | $0 | $85,728 | |||
| Dana E Swenson | ||||||||||
| President/Director, UMM Realty, Inc. | 5.0 | 40.0 | Yes (X) | Yes (X) | $0 | $340,197 | $87,241 | |||
| Stephen E Tosi MD | ||||||||||
| President, UMM Med Group, Inc., Director various | 40.0 | 5.0 | Yes (X) | Yes (X) | $1,123,413 | $0 | $109,723 | |||
| Deborah Weymouth | ||||||||||
| President, HealthAlliance Hospitals, Inc., Director various | 40.0 | 5.0 | Yes (X) | Yes (X) | $519,897 | $0 | $102,798 | |||
| Lynda M Young MD | ||||||||||
| Director, UMM Health Care, Inc. Chairperson, UMM Med Group, Inc. | 1.0 | 1.0 | Yes (X) | Yes (X) | $35,490 | $0 | $0 | |||
| Douglas Ziedonis MD | ||||||||||
| President, UMM Behavioral Health System, Inc. until 3/8/17, Director various | 20.0 | 0 | Yes (X) | Yes (X) | $264,052 | $0 | $42,197 | |||
| Richard K Bennett | ||||||||||
| Director, UMM Health Care, Inc., Chair Marlborough Hosp., Director various | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Leslie Bovenzi | ||||||||||
| Chairperson, HealthAlliance Home Health & Hospice, Inc., Director various | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Fernando Catalina MD | ||||||||||
| Chairperson, HealthAlliance Hospitals, Inc., Director various | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Paul D'Onfro | ||||||||||
| Vice Chairperson, HealthAlliance Hospitals, Inc., Director various | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Paul Kangas | ||||||||||
| Director, UMM Health Care, Inc., Chair, UMM Health Ventures, Inc., Director various | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| William McGrail Esquire | ||||||||||
| Chairperson, Clinton Hospital Assoc., Director, UMM Community Hospitals, Inc. | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Michael D Murphy | ||||||||||
| Vice Chairperson, Marlborough Hospital, Director various | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Richard Siegrist | ||||||||||
| Chairperson, UMM Health Care, Inc., Director various | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Howard Alfred MD | ||||||||||
| Director, UMM Accountable Care Organization, Inc. | 37.0 | 0 | Yes (X) | $239,478 | $0 | $32,814 | ||||
| Peter Bagley MD | ||||||||||
| Director, UMM Accountable Care Organization, Inc. | 27.0 | 0 | Yes (X) | $439,863 | $0 | $74,247 | ||||
| Alan P Brown MD | ||||||||||
| Director, UMM Behavioral Health System, Inc. | 31.0 | 0 | Yes (X) | $203,767 | $0 | $35,681 | ||||
| William Corbett MD | ||||||||||
| Director, Marlborough Hospital, Director various | 40.0 | 5.0 | Yes (X) | $565,034 | $0 | $169,193 | ||||
| Therese Day | ||||||||||
| Director, UMM Health Ventures, Inc. | 40.0 | 5.0 | Yes (X) | $433,356 | $0 | $125,426 | ||||
| Jordan Eisenstock MD | ||||||||||
| Director, UMM Accountable Care Organization, Inc. | 40.0 | 0 | Yes (X) | $58,707 | $0 | $2,793 | ||||
| Kimberly Eisenstock MD | ||||||||||
| Director, Marlborough Hospital | 40.0 | 0 | Yes (X) | $269,047 | $0 | $38,246 | ||||
| R Kevin Ferguson MD | ||||||||||
| Director, UMM Med Group, Inc. | 40.0 | 0 | Yes (X) | $246,695 | $0 | $37,280 | ||||
| Robert W Finberg MD | ||||||||||
| Director, UMM Health Care, Inc. | 20.0 | 5.0 | Yes (X) | $406,410 | $0 | $70,634 | ||||
| David Harlan MD | ||||||||||
| Director, UMM Accountable Care Organization, Inc. | 20.0 | 0 | Yes (X) | $178,724 | $0 | $34,949 | ||||
| Kathryn Kennedy MD | ||||||||||
| Director, UMM Med Group, Inc. | 36.0 | 0 | Yes (X) | $285,548 | $0 | $41,939 | ||||
| Daniel H Lasser MD | ||||||||||
| Director, UMM Med Group, Inc. | 20.0 | 0 | Yes (X) | $280,652 | $0 | $70,334 | ||||
| Shipen Li MD | ||||||||||
| Director, HealthAlliance Hospitals, Inc. | 40.0 | 0 | Yes (X) | $305,061 | $0 | $38,173 | ||||
| Jeffrey N Metzmaker MD | ||||||||||
| Director, UMM Med Group, Inc. | 29.0 | 0 | Yes (X) | $463,803 | $0 | $39,669 | ||||
| Dominic Nompleggi MD | ||||||||||
| Director, UMM Med Group, Inc. | 29.0 | 0 | Yes (X) | $317,334 | $0 | $44,257 | ||||
| O Nsidinanya Okike MD | ||||||||||
| Director, UMM Health Care, Inc. | 40.0 | 5.0 | Yes (X) | $124,891 | $0 | $2,463 | ||||
| Daniel O'Leary MD | ||||||||||
| Director, Coordinated Primary Care, Inc. | 25.0 | 0 | Yes (X) | $250,563 | $0 | $10,112 | ||||
| Chris Philbin | ||||||||||
| Director, UMM Comm Hospitals, Inc., Clinton Hospital Assoc. | 5.0 | 40.0 | Yes (X) | $0 | $290,473 | $60,059 | ||||
| Catherine Rossi | ||||||||||
| Director, Clinton Hospital Association | 5.0 | 40.0 | Yes (X) | $0 | $249,341 | $76,328 | ||||
| Paulette Seymour-Route PhD | ||||||||||
| Director, UMM Health Care, Inc. | 1.0 | 1.0 | Yes (X) | $44,000 | $0 | $0 | ||||
| Habib A Sioufi MD | ||||||||||
| Director, Clinton Hospital Association | 40.0 | 0 | Yes (X) | $95,559 | $0 | $28,811 | ||||
| Gail Allen | ||||||||||
| Director, HealthAlliance Hospitals, Inc., Director various | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Michael W Ames | ||||||||||
| Director, Clinton Hospital Association | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Sheldon Benjamin MD | ||||||||||
| Director, UMM Behavioral Health System, Inc. & CHL | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| David L Bennett | ||||||||||
| Director, UMM Health Care, Inc., UMM Med Center, Inc. | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Daniel Carlucci MD | ||||||||||
| Director, Marlborough Hospital | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| John Clementi | ||||||||||
| Director, HealthAlliance Hospitals, Inc., Director various | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Michael Collins MD | ||||||||||
| Director, UMM Health Care, Inc., UMM Med Center, Inc. | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Benjamin H Colonero Jr | ||||||||||
| Director, Marlborough Hospital | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Edward J Connor | ||||||||||
| Director, Clinton Hospital Association | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Frederick G Crocker | ||||||||||
| Director, UMM Health Ventures, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| J Christopher Cutler FACHE | ||||||||||
| Director, UMM Medical Group, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Edward D'Alelio | ||||||||||
| Director, UMM Health Care, Inc., UMM Med Center, Inc. | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Dix F Davis | ||||||||||
| Director, UMM Realty, Inc., Director various | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Robert Farragher | ||||||||||
| Director, Clinton Hospital Association | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Lynne Farrell | ||||||||||
| Director, HealthAlliance Home Health and Hospice, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| William Fischer | ||||||||||
| Director, Marlborough Hospital | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Terence Flotte MD | ||||||||||
| Director, UMM Health Care, Inc., Director various | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Amy Grassette | ||||||||||
| Director, UMM Behavioral Health System, Inc. & CHL | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Elvira Guardiola | ||||||||||
| Director, UMM Health Care, Inc., UMM Med Center, Inc. | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Christie Hager | ||||||||||
| Director, HealthAlliance Hospitals, Inc. & CNEHA, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Francis Hurley | ||||||||||
| Director, Marlborough Hospital | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Joanne Johnson | ||||||||||
| Director, UMM Behavioral Health System, Inc. & CHL | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Peter Knox | ||||||||||
| Director, UMM Health Care, Inc., UMM Med Center, Inc. | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Barbara Kupfer | ||||||||||
| Director, UMM Accountable Care Organization, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Harris L MacNeill | ||||||||||
| Director, UMM Health Care, Inc., Director various | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Michael Mahan | ||||||||||
| Director, HealthAlliance Hospitals, Inc. & CNEHA, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Edward Manzi | ||||||||||
| Director, UMM Behavioral Health System, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Donata Martin | ||||||||||
| Director, HealthAlliance Hospitals, Inc. & CNEHA, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Luis J Maseda | ||||||||||
| Director, Clinton Hospital Association | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Lalita Matta MD | ||||||||||
| Director, UMM Accountable Care Organization, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Jessica McGarry | ||||||||||
| Director, UMM Behavioral Health System, Inc. & CHL | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Antonia McGuire | ||||||||||
| Director, UMM Accountable Care Organization, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Cynthia M McMullen EdD | ||||||||||
| Director, UMM Behavioral Health System, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Mary Ellen McNamara | ||||||||||
| Director, UMM Health Care, Inc., Director various | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Anthony J Mercadante | ||||||||||
| Director, HealthAlliance Home Health and Hospice, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Nicholas Mercadante MD | ||||||||||
| Director, HealthAlliance Hospitals, Inc. & CNEHA, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Ann K Molloy | ||||||||||
| Director, Marlborough Hospital | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Jim Notaro | ||||||||||
| Director, UMM Behavioral Health System, Inc. & CHL | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Edward J Parry III | ||||||||||
| Director, UMM Health Care, Inc., UMM Med Center, Inc. | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Robert J Paulhus Jr | ||||||||||
| Director, Clinton Hospital Association | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Jeanne Paulino | ||||||||||
| Director, Clinton Hospital Association | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Raymond Pawlicki | ||||||||||
| Director, UMM Health Care, Inc., UMM Med Center, Inc. | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Michael Pici MD | ||||||||||
| Director, UMM Accountable Care Organization, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Philip E Purcell | ||||||||||
| Director, Marlborough Hospital | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Gerard P Richer | ||||||||||
| Director, Marlborough Hospital, UMM Health Ventures, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Michael Rivard | ||||||||||
| Director, HealthAlliance Hospitals, Inc., Director various | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Vibha Sharma MD | ||||||||||
| Director, Marlborough Hospital | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| John Shea Esquire | ||||||||||
| Director, UMM Behavioral Health System, Inc. & CHL | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Robert Leslie Shelton MD | ||||||||||
| Director, HealthAlliance Hospitals, Inc. & CNEHA, Inc. | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| David Walton | ||||||||||
| Director, Marlborough Hospital | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Mary Whitney | ||||||||||
| Director, HealthAlliance Hospitals, Inc., Director various | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||||
| Jack Wilson | ||||||||||
| Director, UMM Health Care, Inc., UMM Med Center, Inc. | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Katharine Bolland Eshghi | ||||||||||
| Assistant Secretary, UMM Health Care, Inc. | 5.0 | 40.0 | Yes (X) | $0 | $497,740 | $101,959 | ||||
| Maureen Croteau | ||||||||||
| Assistant Clerk, Clinton Hospital Assoc. | 40.0 | 0 | Yes (X) | $56,801 | $0 | $23,689 | ||||
| Ann-Maria D'Ambra | ||||||||||
| Assistant Secretary, Marlborough Hospital | 40.0 | 0 | Yes (X) | $52,982 | $0 | $24,459 | ||||
| Nicole Gagne | ||||||||||
| President, Community HealthLink, Inc. | 40.0 | 5.0 | Yes (X) | $254,460 | $0 | $37,598 | ||||
| John Glassburn | ||||||||||
| Secretary, UMM Community Hospitals, Inc. | 5.0 | 40.0 | Yes (X) | $0 | $191,789 | $36,204 | ||||
| Steven McCue | ||||||||||
| Treasurer, Marlborough Hospital | 40.0 | 0 | Yes (X) | $229,979 | $0 | $22,294 | ||||
| Lynn A Morin | ||||||||||
| Assistant Clerk, HealthAlliance Hospitals, Inc. Officer various | 40.0 | 0 | Yes (X) | $92,070 | $0 | $7,556 | ||||
| William O'Brien | ||||||||||
| Secretary, UMBHS, Inc. | 5.0 | 40.0 | Yes (X) | $0 | $134,764 | $44,287 | ||||
| Jeffrey Olson | ||||||||||
| Treasurer, Clinton Hospital Assoc. | 40.0 | 0 | Yes (X) | $168,002 | $0 | $47,247 | ||||
| Jeanne Shirshac | ||||||||||
| Treasurer, UMM Accountable Care Organization, Inc. | 5.0 | 40.0 | Yes (X) | $0 | $279,956 | $71,666 | ||||
| Francis W Smith | ||||||||||
| Secretary, UMM Medical Group, Inc., Officer various | 5.0 | 40.0 | Yes (X) | $0 | $222,475 | $53,808 | ||||
| Michele Streeter | ||||||||||
| Treasurer, UMM Med Group, Inc. | 40.0 | 5.0 | Yes (X) | $612,883 | $0 | $161,065 | ||||
| James P Cyr | ||||||||||
| Sr. VP, Operations (UMMMC) | 40.0 | 5.0 | $374,220 | $0 | $110,146 | Yes (X) | ||||
| Robert Feldmann | ||||||||||
| VP, Corporate Controller | 5.0 | 40.0 | $0 | $444,379 | $111,185 | Yes (X) | ||||
| Barbara Fisher | ||||||||||
| Sr VP, Operations (UMMMC) | 40.0 | 5.0 | $392,411 | $0 | $120,435 | Yes (X) | ||||
| Cathy Jewell | ||||||||||
| Sr VP, Chief Nursing Officer until 1/31/17 | 40.0 | 5.0 | $595,855 | $0 | $146,133 | Yes (X) | ||||
| Bart Metzger | ||||||||||
| Sr VP, Chief HR Officer | 5.0 | 40.0 | $0 | $519,752 | $79,741 | Yes (X) | ||||
| John T Randolph | ||||||||||
| VP, Chief Corporate Compliance | 5.0 | 40.0 | $0 | $324,430 | $96,493 | Yes (X) | ||||
| Alice Shakman | ||||||||||
| Sr. VP, Operations (UMMMC) | 40.0 | 5.0 | $394,360 | $0 | $97,379 | Yes (X) | ||||
| Jeffrey A Smith MD | ||||||||||
| Executive VP, COO | 40.0 | 5.0 | $720,189 | $0 | $89,318 | Yes (X) | ||||
| Timothy Tarnowski | ||||||||||
| Sr VP, Chief Info Officer | 5.0 | 40.0 | $0 | $621,048 | $128,115 | Yes (X) | ||||
| Jennifer Walker MD | ||||||||||
| Physician, Division Chief of Cardiac Surgery - Med Group | 30.0 | 0 | $881,707 | $0 | $41,545 | Yes (X) | ||||
| Demetrius Litwin MD | ||||||||||
| Physician, Chair of Surgery Dept - Med Group | 28.0 | 0 | $808,129 | $0 | $42,381 | Yes (X) | ||||
| Adel Bozorgzadeh MD | ||||||||||
| Physician, Chief of Organ Transplantation - Med Group | 32.0 | 0 | $735,572 | $0 | $42,197 | Yes (X) | ||||
| David C Ayers MD | ||||||||||
| Physician, Chair of Orthopedics and Physical Rehab - Med Group | 33.0 | 0 | $678,723 | $0 | $41,306 | Yes (X) | ||||
| Ajit S Puri MD | ||||||||||
| Physician, Division Chief of Neuroimaging and Intervention - Med Group | 40.0 | 0 | $638,296 | $0 | $37,793 | Yes (X) | ||||
| Patricia George | ||||||||||
| VP & Deputy CIO, until 11/15 | 0 | 0 | $0 | $326,488 | $16,959 | Yes (X) | ||||
| Margaret Hudlin MD | ||||||||||
| CMO/VP Perioperative Svcs, until 9/1/16 | 0 | 0 | $887,564 | $0 | $17,758 | Yes (X) | ||||
| Robert Klugman MD | ||||||||||
| Former Chief Quality Officer, until 9/30/13 | 0 | 0 | $792,120 | $0 | $0 | Yes (X) | ||||
| Andrew Cocchiarella MD | ||||||||||
| Director until 3/16, Marlborough Hospital | 40.0 | 0 | $30,238 | $0 | $1,996 | Yes (X) | ||||
| Carlos Iitsuka | ||||||||||
| Director until 7/16, UMM Health Ventures, Inc. | 0 | 0 | $0 | $402,254 | $51,161 | Yes (X) | ||||
| Sheila Daly | ||||||||||
| President until 1/16, Clinton Hospital Association, Director Comm Hospitals Inc. | 0 | 0 | $219,668 | $0 | $53,035 | Yes (X) | ||||
| Todd Keating | ||||||||||
| Treasurer until 2/14, UMass Memorial Health Care, Inc. and Director of other boards | 0 | 0 | $0 | $17,808 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $19,494,662 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,748,535 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,762,698 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2779 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ERNST & YOUNG LLP | |||||
| PO BOX 640382 | PITTSBURGH | PA | 15264 | ADVISORY SERVICES | $14,241,829 |
| Quest Diagnostics Inc | |||||
| PO Box 51048 | Los Angeles | CA | 90074 | Laboratory Services | $9,680,872 |
| CROTHALL HLTHCARE INC | |||||
| 13028 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | LINEN MANAGEMENT SERVICES | $8,959,739 |
| Epic Systems Corp | |||||
| PO Box 88314 | Milwaukee | WI | 532880314 | Consulting Services | $8,413,373 |
| TEKSYSTEMS | |||||
| PO BOX 198568 | ATLANTA | GA | 303848568 | IS Consulting Services | $8,149,762 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 249 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Fundraising | $283,468 | FundraisingAmt |
| Related Organizations | $773,633 | RelatedOrganizationsAmt |
| Government Grants | $10,273,227 | GovernmentGrantsAmt |
| All Other Contributions | $1,706,259 | AllOtherContributionsAmt |
| Noncash Contributions | $36,939 | NoncashContributionsAmt |
| Total Contributions | $13,036,587 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $2,120,833,419 | $2,120,833,419 | |
| Transitional payments | 622110 | $26,827,446 | $26,827,446 | |
| SPECIAL MEDICAID PAYMENTS | 622110 | $207,478,083 | $207,478,083 | |
| AFFILIATE RELATED PROGRAMS | 622110 | $15,281,715 | $15,281,715 | |
| OTHER PSR & JV income | 622110 | $45,236,902 | $40,426,053 | $4,810,849 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,415,657,565 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,420,379 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $3,573 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,416,806 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,555,427 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,580,692 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $974,735 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $974,735 | TotalRevenueColumnAmt |
| Exclusion | $974,735 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $34,446,876 | SecuritiesAmt |
| Other | $1,988,180 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $34,192,736 | SecuritiesAmt |
| Other | $1,714,678 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $254,140 | SecuritiesAmt |
| Other | $273,502 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $527,642 | TotalRevenueColumnAmt |
| Exclusion | $527,642 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $254,076 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $283,468 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $269,796 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,720 | TotalRevenueColumnAmt |
| Exclusion | -$15,720 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|---|
| Lab services | 621500 | $1,672,119 | $1,672,119 | ||
| Cafeteria income | 722514 | $6,230,708 | $6,230,708 | ||
| Other income | 900099 | $93,726 | $3,788 | $89,938 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,738 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,713 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,998,291 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,454,599,479 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,410,938,367 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $6,486,541 | UnrelatedBusinessRevenueAmt |
| Exclusion | $24,137,984 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,116,496 | TotalAmt |
| Program Services | $2,116,496 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,400 | TotalAmt |
| Program Services | $32,400 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,909,266 | TotalAmt |
| Program Services | $10,731,866 | ProgramServicesAmt |
| Management And General | $6,177,400 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $617,226 | TotalAmt |
| Program Services | $585,629 | ProgramServicesAmt |
| Management And General | $31,597 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $963,465,633 | TotalAmt |
| Program Services | $834,079,159 | ProgramServicesAmt |
| Management And General | $129,022,335 | ManagementAndGeneralAmt |
| Fundraising | $364,139 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,237,737 | TotalAmt |
| Program Services | $68,337,090 | ProgramServicesAmt |
| Management And General | $10,896,906 | ManagementAndGeneralAmt |
| Fundraising | $3,741 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,655,618 | TotalAmt |
| Program Services | $114,914,698 | ProgramServicesAmt |
| Management And General | $22,720,495 | ManagementAndGeneralAmt |
| Fundraising | $20,425 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,692,672 | TotalAmt |
| Program Services | $57,023,715 | ProgramServicesAmt |
| Management And General | $9,656,249 | ManagementAndGeneralAmt |
| Fundraising | $12,708 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,806,410 | TotalAmt |
| Program Services | $27,228,794 | ProgramServicesAmt |
| Management And General | $577,589 | ManagementAndGeneralAmt |
| Fundraising | $27 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $604,259 | TotalAmt |
| Program Services | $42,877 | ProgramServicesAmt |
| Management And General | $561,382 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,350 | TotalAmt |
| Program Services | $6,741 | ProgramServicesAmt |
| Management And General | $110,609 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,447 | TotalAmt |
| Program Services | $185,447 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,396 | TotalAmt |
| Fundraising | $7,396 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $537,461 | TotalAmt |
| Program Services | $18,155 | ProgramServicesAmt |
| Management And General | $519,306 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,449,992 | TotalAmt |
| Program Services | $332,509,156 | ProgramServicesAmt |
| Management And General | $12,838,095 | ManagementAndGeneralAmt |
| Fundraising | $102,741 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,790 | TotalAmt |
| Program Services | $160,760 | ProgramServicesAmt |
| Management And General | $248,062 | ManagementAndGeneralAmt |
| Fundraising | $8,968 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,143,562 | TotalAmt |
| Program Services | $15,480,555 | ProgramServicesAmt |
| Management And General | $4,626,379 | ManagementAndGeneralAmt |
| Fundraising | $36,628 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,960,190 | TotalAmt |
| Program Services | $3,690,660 | ProgramServicesAmt |
| Management And General | $1,269,530 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,641,482 | TotalAmt |
| Program Services | $55,602,310 | ProgramServicesAmt |
| Management And General | $3,039,172 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,884,365 | TotalAmt |
| Program Services | $1,808,767 | ProgramServicesAmt |
| Management And General | $74,538 | ManagementAndGeneralAmt |
| Fundraising | $1,060 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,360,533 | TotalAmt |
| Program Services | $1,107,950 | ProgramServicesAmt |
| Management And General | $249,733 | ManagementAndGeneralAmt |
| Fundraising | $2,850 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,131,363 | TotalAmt |
| Program Services | $10,013,305 | ProgramServicesAmt |
| Management And General | $118,058 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,480,705 | TotalAmt |
| Program Services | $102,000,772 | ProgramServicesAmt |
| Management And General | $4,479,933 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,972,083 | TotalAmt |
| Program Services | $28,833,589 | ProgramServicesAmt |
| Management And General | $1,138,494 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,464,194 | TotalAmt |
| Program Services | $16,929,011 | ProgramServicesAmt |
| Management And General | $5,427,270 | ManagementAndGeneralAmt |
| Fundraising | $107,913 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,444,142,334 | TotalAmt |
| Program Services | $2,150,298,073 | ProgramServicesAmt |
| Management And General | $293,128,008 | ManagementAndGeneralAmt |
| Fundraising | $716,253 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,489,188 | BOYAmt |
| EOY | $105,661,129 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,766,485 | BOYAmt |
| EOY | $78,607,060 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,699 | BOYAmt |
| EOY | $120,256 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,620,773 | BOYAmt |
| EOY | $252,782,227 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $708,634 | BOYAmt |
| EOY | $82,916 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,651,047 | BOYAmt |
| EOY | $37,143,264 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,196,362 | BOYAmt |
| EOY | $10,267,396 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,778,797,713 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,115,203,292 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $614,014,016 | BOYAmt |
| EOY | $663,594,421 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,919,586 | BOYAmt |
| EOY | $95,110,890 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,650,026 | BOYAmt |
| EOY | $368,847,417 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,551,505 | BOYAmt |
| EOY | $16,696,196 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,714,222 | BOYAmt |
| EOY | $250,728,513 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,818,569,543 | BOYAmt |
| EOY | $1,879,641,685 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,689,839 | BOYAmt |
| EOY | $267,005,994 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,009,563 | BOYAmt |
| EOY | $302,652 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,501,757 | BOYAmt |
| EOY | $17,082,579 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,930,725 | BOYAmt |
| EOY | $508,568,686 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,680 | BOYAmt |
| EOY | $12,747 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,003,466 | BOYAmt |
| EOY | $5,051,890 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,000,000 | BOYAmt |
| EOY | $55,000,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $547,606,667 | BOYAmt |
| EOY | $505,481,481 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,256,756,697 | BOYAmt |
| EOY | $1,358,506,029 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $463,903,452 | BOYAmt |
| EOY | $426,953,191 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,180,568 | BOYAmt |
| EOY | $41,491,352 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,728,826 | BOYAmt |
| EOY | $52,691,113 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $561,812,846 | BOYAmt |
| EOY | $521,135,656 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,818,569,543 | BOYAmt |
| EOY | $1,879,641,685 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,457,145 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,082,064 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$59,216,399 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $185,447 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $185,447 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | Amounts 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 ACTIVITY | Amounts represent amounts of membership dues paid to various associations that are attributable to lobbying activities. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $78,913,132 | BeginningYearBalanceAmt |
| Contributions | $3,536,295 | ContributionsAmt |
| Investment Earnings Or Losses | $3,401,567 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,590,046 | OtherExpendituresAmt |
| End Year Balance | $81,260,948 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $117,475,856 | BeginningYearBalanceAmt |
| Contributions | $174,883 | ContributionsAmt |
| Investment Earnings Or Losses | $5,899,351 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $44,636,958 | OtherExpendituresAmt |
| End Year Balance | $78,913,132 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $115,101,660 | BeginningYearBalanceAmt |
| Contributions | $5,757,118 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,182,362 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,200,560 | OtherExpendituresAmt |
| End Year Balance | $117,475,856 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $112,462,194 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,419,969 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,425,190 | OtherExpendituresAmt |
| Administrative Expenses | $2,355,313 | AdministrativeExpensesAmt |
| End Year Balance | $115,101,660 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $109,418,023 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8,142,465 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,098,294 | OtherExpendituresAmt |
| End Year Balance | $112,462,194 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.65 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.35 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,811,599 | OtherCostOrOtherBasisAmt |
| Book Value | $8,811,599 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $847,706,499 | OtherCostOrOtherBasisAmt |
| Depreciation | $515,165,409 | DepreciationAmt |
| Book Value | $332,541,090 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,923,728 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,917,643 | DepreciationAmt |
| Book Value | $20,006,085 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $836,332,042 | OtherCostOrOtherBasisAmt |
| Depreciation | $582,057,327 | DepreciationAmt |
| Book Value | $254,274,715 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,023,845 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,062,913 | DepreciationAmt |
| Book Value | $47,960,932 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $663,594,421 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (7 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| BENEFICIAL INTEREST IN TRUSTS | $67,411,018 | F |
| COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | ||
| BIO VENTURES | ||
| UNITS IN INVESTMENT PARTNERSHIP | $236,497,442 | F |
| OTHER | ||
| INVESTMENT IN QUEST DIAGNOSTICS | $63,461,562 | F |
| INVESTMENT IN SHIELDS PHARMACY HOLDINGS | $1,477,395 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $368,847,417 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (9 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $250,728,513 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (14 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $505,481,481 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 Funds | Medical 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 agreement | Tenant 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 funds | The 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) footnote | The System follows a two-step approach for the financial statement recognition and measurement of a tax position taken or expected to be taken on a tax return. The substantial majority of UMass Memorial and its affiliate entities are recognized by the Internal Revenue Service as tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Accordingly, these entities will not incur any liability for federal income taxes except for tax on unrelated 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CNEHA Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $281,172 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $132,477 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $148,695 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $21,925 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $47,341 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $48,490 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $30,939 | OtherDirectExpensesEvent1Amt |
| Event2 | Marlboro Golf Tournament | Event2Nm |
| Gross Receipts Event2 | $94,012 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $43,154 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $50,858 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $7,248 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $16,907 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $17,708 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $8,995 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $158,360 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $103,837 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $54,523 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $8,059 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $20,846 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $24,455 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $3,967 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $12,916 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $533,544 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $279,468 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $254,076 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $37,232 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $85,094 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $90,653 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $3,967 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $52,850 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $269,796 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$15,720 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,236,667 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,741,474 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,495,193 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0064 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $386,556,879 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $344,249,564 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,307,315 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0217 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,224,257 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,224,257 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $437,017,803 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $382,215,295 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $54,802,508 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0281 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,344,967 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,614,831 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,730,136 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0009 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $226,973,043 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $133,907,163 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $93,065,880 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0478 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $88,187,450 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $69,986,010 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,201,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0093 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $153,168 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,850 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $103,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,275,640 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,275,640 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $321,934,268 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $208,833,494 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $113,100,774 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0581 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $758,952,071 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $591,048,789 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $167,903,282 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0862 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,641 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,641 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,994 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,994 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,944 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,944 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,215 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,215 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,453 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $69,453 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $96,247 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $96,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $44,461,000 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,158,840 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $378,034,017 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $428,184,862 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$50,150,845 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 4 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (4 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER INC | ||||||||||||
| 1 | 55 LAKE AVE 119 BELMONT STREET | WORCESTER | MA | 01605 | www.umassmemorialhealthcare.org | 2124, 2841 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| HEALTHALLIANCE HOSPITAL INC | ||||||||||||
| 2 | 60 HOSPITAL ROAD | LEOMINSTER | MA | 01453 | www.umassmemorialhealthcare.org/healthalliance-hospital | 2127 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||
| MARLBOROUGH HOSPITAL | ||||||||||||
| 3 | 157 UNION STREET | MARLBOROUGH | MA | 01752 | www.umassmemorialhealthcare.org/marlborough-hospital | 2103 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||
| CLINTON HOSPITAL ASSOCIATION | ||||||||||||
| 4 | 201 HIGHLAND STREET | CLINTON | MA | 01510 | www.umassmemorialhealthcare.org/clinton-hospital | 2126 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | OtherOtherInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER INC | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 14 | Yes (true) | false | Yes (true) | Yes (true) | Yes (X) | http://www.umassmemorialhealthcare.org/sites/umass-memorial-hospital/files/Documents/About/UMass_Mem | Yes (X) | http://www.worcesterma.gov/uploads/e3/8b/e38b32c7d4a96243c9c48bbd3250b00e/cha-report.pdf | Yes (X) | Yes (X) | Yes (true) | 15 | Yes (true) | https://www.umassmemorialhealthcare.org/sites/umass-memorial-hospital/files/Documents/CB%2520Plan%25 | false | Yes (true) | Yes (X) | 200.0 | 600.0 | Yes (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-visitors | Yes (X) | https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/patients-visitors | Yes (X) | https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/patients-visitors | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| HEALTHALLIANCE HOSPITAL INC | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | www.healthallianceclinton.com | Yes (X) | : http://www.heywood.org/about/publications | Yes (X) | Yes (X) | Yes (true) | 16 | Yes (true) | www.healthallianceclinton.com | false | Yes (true) | Yes (X) | 200.0 | 600.0 | Yes (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-visitors | Yes (X) | https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitors | Yes (X) | https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitors | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | |
| MARLBOROUGH HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 16 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | www.marlboroughhospital.org | Yes (X) | www.mwhealth.org | Yes (X) | Yes (true) | 16 | Yes (true) | www.umassmemorialhealthcare.org/about-us/community-benefits-program/marlborough- | false | Yes (true) | Yes (X) | 200.0 | 600.0 | Yes (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-resources | Yes (X) | https://www.umassmemorialhealthcare.org/marlborough-hospital/patients-visitors/patient-resources | Yes (X) | https://www.umassmemorialhealthcare.org/marlborough-hospital/patients-visitors/patient-resources | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | ||
| CLINTON HOSPITAL ASSOCIATION | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 14 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | www.umassmemorialhealthcare.org/healthalliance-clinton-hospital | Yes (X) | http://chna9.com/index.html | Yes (X) | Yes (X) | Yes (true) | 15 | Yes (true) | www.umassmemorialhealthcare.org/healthalliance-clinton-hospital | false | Yes (true) | Yes (X) | 200.0 | 600.0 | Yes (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-visitors | Yes (X) | https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitors | Yes (X) | https://www.umassmemorialhealthcare.org/healthalliance-clinton-hospital/patients-visitors | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | |
Supplemental Information SupplementalInformationGrp (29 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3 Facility , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 2 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 1 - Marlborough Hospital. The CHNA was completed in conjunction with the MetroWest Medical Center. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 1 | Facility , 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 , 2 | Facility , 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 , 1 | Facility , 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| UMASS MEMORIAL MED CENTER (LAB SVCS) | ||||
| BIOTECH ONE 365 PLANTATION STREET | WORCESTER | MA | 01605 | SATELLITE - LAB SERVICES |
| UMASS MEMORIAL MED CENTER (PATHOLOGY) | ||||
| BIOTECH THREE ONE INNOVATION DRIVE | WORCESTER | MA | 01605 | SATELLITE - PATHOLOGY |
| UMASS MEMORIAL MED CENTER AMBULANCE | ||||
| 23 WELLS STREET | WORCESTER | MA | 01604 | SATELLITE - AMBULATORY SERVICES |
| UMASS MEMORIAL MED CENTER | ||||
| 100 PROVIDENCE STREET | WORCESTER | MA | 01604 | SATELLITE - AMBULATORY SERVICES |
Supplemental Information Detail SupplementalInformationDetail (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I RESEARCH EXPENSES | THE 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 ACTIVITIES | Part 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 7 | ALL 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 8 | UMASS 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 Services | NOT APPLICABLE |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 0 |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | The Cost to Charge Ratio is utilized to calculate amounts reported for each line in Part 1, Line 7 |
| Schedule H, Part II Community Building Activities | UMass 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 amount | Bad 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 Methodology | Costing 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 footnote | Footnote 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 costs | THE 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 assistance | A. 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 assessment | In 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 assistance | Financial 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 information | Geographical 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 health | Every 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 system | 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. 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 report | MA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| Edward M Kennedy Community Health Center Inc | ||||||||||
| 650 Lincoln Street | Worcester | MA | 01605 | 042513817 | 501 (c)(3) | $1,000,000 | $0 | N/A | N/A | Support for Health Center's mission |
| Family Health Center of Worcester Inc | ||||||||||
| 26 Queen Street | Worcester | MA | 01610 | 042485308 | 501 (c)(3) | $1,000,000 | $0 | N/A | N/A | Support for Health Center's mission |
| University of Massachusetts Medical School | ||||||||||
| 55 Lake Ave N | Worcester | MA | 01655 | 043167352 | University of MA | $88,996 | $0 | N/A | N/A | EOHHS ICB Grant $29,681 and Complex Aortic Aneurysm Repair Study $59,315 |
| Physician Health Services Inc | ||||||||||
| 860 Winter Street | Waltham | MA | 02451 | 223234975 | 501 (c)(3) | $12,500 | $0 | N/A | N/A | Support for Caring for Physician Health Campaign |
| Arthritis Foundation | ||||||||||
| 1330 West Peachtree Street | Atlanta | GA | 30309 | 581341679 | 501 (c)(3) | $10,000 | $0 | N/A | N/A | Central MA WTCA Sponsorship |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|
| COMMUNITY SUPPORT | 6 | $23,000 | 0 |
| Scholarship | 13 | $9,400 | 0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule I, Part II, Line 1(h) SCHEDULE I, PART II, LINE 1H | MEDICAL 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 assistance | Central 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 assistance | Marlborough 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (60 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part II | THE 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 payment | The 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 plan | THE 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS SERIES F REISSUED | ||||||||
| A | 043431814 | 000000000 | 2017-03-28 | $25,725,000 | PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES F BONDS | false | false | false |
| MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A | ||||||||
| B | 043431814 | 000000000 | 2009-11-24 | $9,420,000 | PAY OFF HEFA POOL O LOAN, ER RENOVATIONS, EICU EQUIPMENT, CT SCAN LEASE, MAMMOGRAPHY UNIT | false | false | false |
| MHEFA-UMASS MEMORIAL SERIES G | ||||||||
| C | 042456011 | SEEPARTVI | 2010-05-27 | $61,833,656 | REFUNDING OF CNEHA SERIES A BOND (1993) AND MEDICAL CENTER OF CENTRAL MA, SERIES B (1992) | false | false | false |
| MDFA-UMASS MEMORIAL SERIES H | ||||||||
| D | 043431814 | SEEPARTVI | 2011-08-10 | $92,293,778 | PART REFUND OF MED C VAR RATE SER A (98), REFUND IN FULL OF CNEHA SER B (98) &UMASS MEM SER C (01). | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $845,000 | $0 | $25,725,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,725,000 | $0 | 2017 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $1,706,000 | $0 | $9,420,000 | $0 | $0 | $0 | $93,458 | $0 | $0 | $9,326,542 | $0 | $0 | 2009 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $32,340,000 | $0 | $61,833,836 | $0 | $0 | $0 | $1,099,039 | $0 | $0 | $0 | $60,734,797 | $0 | 2010 | Yes (true) | false | Yes (true) | Yes (true) |
| D | $29,480,000 | $0 | $92,293,778 | $0 | $0 | $0 | $1,235,315 | $0 | $0 | $0 | $91,058,463 | $0 | 2011 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
| B | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
| C | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
| D | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | false | false | Yes (true) | false | false | false | Yes (true) |
| B | false | false | Yes (true) | false | Yes (true) | false | false | false | Yes (true) |
| C | false | false | false | Yes (true) | false | false | false | false | Yes (true) |
| D | false | false | Yes (true) | false | false | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (23 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I, Column (c) Series G CUSIP List | 57586EUS8, 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 List | 57583UGP7, 57583UGQ5, 57583UGR3, 57583UGS1, 57583UGT9, 57583UGU6, 57583UGV4, 57583UGW2, 57583UGX0, 57583UGY8, 57583UGZ5, 57583UHA9, 57583UHB7, 57583UHC5 |
| Schedule K, Part I, Column (c) Series I CUSIP List | 57584XJK8, 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 List | 57584XE23 - 57584XE31 - 57584XE49 - 57584XE56 - 57584XE64 - 57584XE72 - 57584XE80 - 57584XE98 - 57584XF22 - 57584XF30- 57584XF48 - 57584XF55 - 57584XF63 |
| Schedule K, Part III, Line 4 All | Private 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 All | UMass 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 G | Column (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 Lease | Column (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 Lease | Column (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 I | Column (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 Lease | Column (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 K | Column (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 Action | Issuer name: MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS, SERIES F REISSUED N/A |
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A N/A |
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: MHEFA-UMASS MEMORIAL, SERIES G N/A |
| Schedule K, Part IV, Line 2c COLUMN C | Issuer 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 Action | Issuer name: MDFA-UMASS MEMORIAL, SERIES H N/A |
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: MDFA-UMASS MEMORIAL MASTER LEASE N/A |
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: MDFA-UMASS MEMORIAL MASTER LEASE N/A |
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: MDFA - UMASS MEMORIAL, SERIES I N/A |
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: MDFA- UMASS MEMORIAL, SERIES J N/A |
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: MDFA- UMASS MEMORIAL MASTER LEASE N/A |
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: MDFA- UMASS MEMORIAL, SERIES K N/A |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MDFA-UMASS MEMORIAL MASTER LEASE | ||||||||
| A | 043431814 | 000000000 | 2011-12-28 | $20,000,000 | CAPITAL EQUIPMENT | false | false | false |
| MDFA-UMASS MEMORIAL MASTER LEASE | ||||||||
| B | 043431814 | 000000000 | 2013-08-14 | $20,000,000 | CAPITAL EQUIPMENT | false | false | false |
| MDFA - UMASS MEMORIAL SERIES I | ||||||||
| C | 043431814 | SEEPARTVI | 2016-02-02 | $194,086,349 | REFUNDING IN FULL UMASS MEM SER A REV BONDS (98) AND UMASS MEM SERIES D (05), VARIOUS CONST & EQUIP. | false | false | false |
| MDFA- UMASS MEMORIAL SERIES J | ||||||||
| D | 043431814 | 000000000 | 2016-12-07 | $50,000,000 | SUPPORT THE PURCHASE AND IMPLEMENTATION OF THE NEW ELECTRONIC MEDICAL RECORD AND BILLING SYSTEM | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $19,128,097 | $0 | $20,013,504 | $0 | $0 | $0 | $29,000 | $0 | $0 | $19,984,504 | $0 | $0 | 2013 | false | false | Yes (true) | Yes (true) |
| B | $13,460,568 | $0 | $20,000,723 | $0 | $0 | $0 | $36,810 | $0 | $0 | $19,963,913 | $0 | $0 | 2013 | false | false | Yes (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 | $0 | Yes (true) | false | false | Yes (true) | |
| D | $0 | $0 | $50,000,000 | $0 | $0 | $0 | $260,000 | $0 | $0 | $49,740,000 | $0 | $0 | 2017 | false | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
| B | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
| C | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
| D | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | false | false | false | false | false | Yes (true) |
| B | false | false | Yes (true) | false | false | false | false | false | Yes (true) |
| C | false | Yes (true) | false | false | false | false | false | false | Yes (true) |
| D | false | Yes (true) | false | false | Yes (true) | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
| D | Yes (true) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MDFA- UMASS MEMORIAL MASTER LEASE | ||||||||
| A | 043431814 | 000000000 | 2016-12-07 | $75,000,000 | SUPPORT THE PURCHASE AND IMPLEMENTATION OF THE NEW ELECTRONIC MEDICAL RECORD AND BILLING SYSTEM. | false | false | false |
| MDFA- UMASS MEMORIAL SERIES K | ||||||||
| B | 043431814 | SEEPARTIV | 2017-02-01 | $56,751,941 | REFUND IN FULL UMASS MEMORIAL SERIES E REV BONDS; REIMBURSE CAPITAL COSTS OF EQUIP, & ISSUANCE COSTS | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $75,085,559 | $0 | $0 | $76,036 | $81,000 | $0 | $0 | $74,928,523 | $0 | $0 | 2017 | false | false | Yes (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 | $0 | Yes (true) | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
| B | false | false | false | false | 0.0 | 0.0 | 0.0 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | false | false | false | false | false | Yes (true) |
| B | false | Yes (true) | false | false | false | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (13 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| 80 Erdman Way LLC | |||
| Entity more than 35% owned by John R. Clementi, Board Director | $108,876 | Rental of Property - Expense | false |
| Ellen Carlucci | |||
| Family Member of Daniel Carlucci, M.D., Board Director | $157,985 | Employment Arrangement w/ Marlborough Hospital | false |
| Joanne D'Onfro | |||
| Family Member of Paul D'Onfro, Board Director | $19,336 | Employment Arrangement w/ HealthAlliance Hospitals, Inc. | false |
| Elaine Granville RN | |||
| Family Member of Cheryl Lapriore, Officer / Board Director | $141,867 | Employment Arrangement w/ UMM Medical Center, Inc. | false |
| Joyce Fingeroth MD | |||
| Family Member of Robert W. Finberg, M.D., Board Director | $106,275 | Employment Arrangement w/ UMM Medical Group, Inc. | false |
| Brittany M Paulhus | |||
| Family Member of Robert J. Paulhus, Jr., Board Director | $55,396 | Employment Arrangement w/ UMM Medical Center, Inc. | false |
| Darlene A Purcell | |||
| Family Member of Philip E. Purcell, Board Director | $136,366 | Employment Arrangement w/ UMM Medical Center, Inc. | false |
| Substantial Contributor | |||
| Substantial Contributor | $581,468 | 3rd Party Payer Contract Payment | false |
| Substantial Contributor | |||
| Substantial Contributor | $1,225,084 | Independent Contractor Arrangement | false |
| Substantial Contributor | |||
| Substantial Contributor | $137,216 | Independent Contractor Arrangement | false |
| Substantial Contributor | |||
| Substantial Contributor | $3,821,619 | Independent Contractor Arrangement | false |
| Substantial Contributor | |||
| Substantial Contributor | $582,312 | Independent Contractor Arrangement | false |
| Substantial Contributor | |||
| Substantial Contributor | $214,951 | 3rd Party Payer Contract Payment & Independent Contractor Arrangement | false |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $36,939 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part II Supplemental Information | FormAndLineReferenceDesc |
| Explanation | UMass 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 persons | CLINTON HOSPITAL ASSOC.: PAULHUS, ROBERT (BOARD MEMBER) AND PAUL CHERUBINI (BOARD MEMBER) - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THERE 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 body | THE 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 stockholders | THE 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 body | SECTIONS 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 policy | THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS AND MANAGEMENT TO COMPLETE ANNUAL DISCLOSURE STATEMENTS AND, TO UPDATE THESE DISCLOSURE STATEMENTS FOR SIGNIFICANT CHANGES IN THEIR OUTSIDE GOVERNANCE AND PROFESSIONAL ACTIVITIES OR, FINANCIAL RELATIONSHIPS AS APPROPRIATE. ADDITIONALLY, ALL TRANSACTIONS INVOLVING BOARD MEMBERS OR MANAGEMENT AND THE ORGANIZATION ARE REQUIRED TO BE APPROVED BY THE COMPLIANCE COMMITTEE OF THE BOARD. The following groups of individuals are covered by this policy: a. All Trustees/Directors: all UMM entities b. UMMHC/UMMMC/UMMMG: Dept Heads and above; selected others c. Physicians: all employed physicians, members of any board committee, members of Medical Staff Executive Committees; others as determined appropriate THERE IS ACTIVE MONITORING by the UMMHC 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 official | Compensation matters involving the CEO and Senior Executives are overseen by the Compensation Committee of the Board, which was designated this authority by the Organization's Board of Trustees. The Compensation Committee approved a Compensation Philosophy and Policy which govern compensation matters. THE PHILOSOPHY INCLUDES THE OBJECTIVES OF THE PROGRAM COMPONENTS OF EXECUTIVE COMPENSATION, THE RELEVANT MARKET POSITIONING IN THE MARKET FACTORS CONSIDERED IN SETTING EXECUTIVE COMPENSATION AND THE IMPORTANCE OF TYING SUCH COMPENSATION TO PERFORMANCE. Independent outside compensation 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 employees | Tier 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 public | UMASS MEMORIAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AS REQUIRED BY APPLICABLE STATE AND FEDERAL LAWS, AND BY REQUEST ON A CASE-BY-CASE BASIS. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Rebate 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 Fees | Recruitment 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 balances | NET 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 process | THE 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 3642 | UMASS 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 3 | Entity & 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 3 | Entity & 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 3 | Entity & 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 3 | Alan 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 3 | Frederick 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 3 | Michele 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHALLIANCE REALTY CORPORATION | ||||||||||
| 60 HOSPITAL ROAD | LEOMINSTER | MA | 01473 | 042560754 | REAL ESTATE MANAGEMENT | MA | 501(c)(2) | NA | false | |
| UMass Memorial Health Care Inc (Parent) | ||||||||||
| 306 Belmont Street | Worcester | MA | 01604 | 043358566 | Management of Healthcare System | MA | 501(c)(3) | na | false | 11 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL MRI OF MALRBOROUGH LLC | |||||||||||||
| 157 UNION STREET | MARLBOROUGH | MA | 01752 | 202293995 | MAGNETIC RESONANCE IMAGING | MA | MARLBOROUGH HOSPITAL | Related | $652,938 | $479,409 | false | false | 0.56 |
| UMASS MEMORIAL HEALTHALLIANCE MRI CENTER LLC | |||||||||||||
| 60 HOSPITAL ROAD | LEOMINSTER | MA | 01453 | 043561571 | MAGNETIC RESONANCE IMAGING | MA | NA | Related | $905,538 | $1,154,438 | false | false | 0.6 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIAL OFFICE CONDOMIUM TRUST | |||||||||||||||||
| 306 BELMONT STREET | WORCESTER | MA | 01604 | 046616900 | CONDOMINIUM ASSOCIATION | MA | UMASS MEMORIAL REALTY INC | Trust | -$8,057 | $220,706 | 0.5369 | false | |||||
| Commonwealth Professional Assurance Company Ltd | |||||||||||||||||
| 980226143 | Insurance | NA | C Corporation | false | P O Box 1051 GT | Grand Cayman, | CJ | KY11102 | CJ | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HealthAlliance Realty Inc | ||
| J | $397,784 | Fair value |
| HealthAlliance Realty Inc | ||
| P | $314,160 | Fair value |
| UMass Memorial HealthAlliance MRI Center LLC | ||
| S | $1,050,000 | Fair value |
| UMass Memorial MRI of Marlborough LLC | ||
| S | $600,000 | Fair value |