STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UMASS MEMORIAL HEALTH CARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
UMASS MEMORIAL HEALTH CARE INC (EIN 91-2155626)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-03
IRS object ID
201722159349300027
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-03T14:00:48-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1175 Powder Forest DriveAddressLine1Txt
CitySimsburyCityNm
State AbbreviationCTStateAbbreviationCd
ZIP060897902ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN912155626EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSergio MelgarPersonNm
Person TitleEVP/CFO/TreasurerPersonTitleTxt
Signature2017-08-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRachel SpurlockPreparerPersonNm
PTINP00520729PTIN
Phone8606789200PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Sergio MelgarBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1306 Belmont StreetAddressLine1Txt
CityWorcesterCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,415,912,142GrossReceiptsAmt
Group Return For AffiliatesYes (true)GroupReturnForAffiliatesInd
All Affiliates IncludedYes (true)AllAffiliatesIncludedInd
Group Exemption3642GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.umassmemorial.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionUMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body166VotingMembersGoverningBodyCnt
Voting Members Independent89VotingMembersIndependentCnt
Total Employee14420TotalEmployeeCnt
Total Volunteers1307TotalVolunteersCnt
Total Gross UBI$3,570,189TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$579,995NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$14,499,867PYContributionsGrantsAmt
CY Contributions Grants$13,874,385CYContributionsGrantsAmt
PY Program Service Revenue$2,510,679,190PYProgramServiceRevenueAmt
CY Program Service Revenue$2,351,102,309CYProgramServiceRevenueAmt
PY Investment Income$41,297,302PYInvestmentIncomeAmt
CY Investment Income$6,124,340CYInvestmentIncomeAmt
PY Other Revenue$11,103,132PYOtherRevenueAmt
CY Other Revenue$9,584,610CYOtherRevenueAmt
PY Total Revenue$2,577,579,491PYTotalRevenueAmt
CY Total Revenue$2,380,685,644CYTotalRevenueAmt
PY Grants And Similar Paid$4,483,733PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,312,920CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,277,516,317PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,221,720,336CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$323,352PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$64,000CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$635,354CYTotalFundraisingExpenseAmt
PY Other Expenses$1,201,618,437PYOtherExpensesAmt
CY Other Expenses$1,117,155,900CYOtherExpensesAmt
PY Total Expenses$2,483,941,839PYTotalExpensesAmt
CY Total Expenses$2,341,253,156CYTotalExpensesAmt
PY Revenues Less Expenses$93,637,652PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$39,432,488CYRevenuesLessExpensesAmt
Total Assets BOY$2,290,835,371TotalAssetsBOYAmt
Total Assets EOY$1,818,569,543TotalAssetsEOYAmt
Total Liabilities BOY$1,382,662,313TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,256,756,697TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$908,173,058NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$561,812,846NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionUMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,312,284,260ExpenseAmt
Grant$2,293,555GrantAmt
Revenue$1,578,234,928RevenueAmt
DescUMASS MEMORIAL MEDICAL CENTER UMASS MEMORIAL MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. UMASS MEMORIAL MEDICAL CENTER DOES THIS BY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY. FY 2016 KEY STATISTICS - TOTAL DISCHARGES: 38,444 TOTAL SURGICAL CASES: 28,711 TOTAL ER VISITS: 136,097Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$459,464,553ExpenseAmt
Grant$0GrantAmt
Revenue$392,769,783RevenueAmt
DescUMASS MEMORIAL MEDICAL GROUP THE UMASS MEMORIAL MEDICAL GROUP IS A MULTISPECIALTY GROUP PRACTICE OF PHYSICIANS WHOSE MISSION AND PURPOSE IS TO SUPPORT THE CLINICAL, EDUCATIONAL, RESEARCH AND COMMUNITY SERVICE MISSIONS OF UMASS MEMORIAL HEALTH CARE AND UMASS MEMORIAL MEDICAL CENTER. UMASS MEMORIAL MEDICAL GROUP ACCOMPLISHES THIS MISSION BY PROVIDING MEDICAL CARE TO RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$218,494,804ExpenseAmt
Grant$0GrantAmt
Revenue$285,306,676RevenueAmt
DescUMASS MEMORIAL COMMUNITY HOSPITALS THE UMASS MEMORIAL COMMUNITY HOSPITALS (CLINTON HOSPITAL, HEALTH ALLIANCE HOSPITALS, INC., MARLBOROUGH HOSPITAL) ARE COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF THE COMMUNITIES THAT THEY SERVE THROUGH EXCELLENCE IN CLINICAL CARE AND SERVICE. EACH OF THESE HOSPITALS ACCOMPLISHES THIS GOAL BY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE RESIDENTS OF THEIR COMMUNITIES WITHOUT REGARD TO THEIR ABILITY TO PAY. FY 2016 KEY STATISTICS - TOTAL DISCHARGES: 11,372 TOTAL SURGICAL CASES: 7,578 TOTAL ER VISITS: 86,749Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$76,701,756ExpenseAmt
Grant$19,365GrantAmt
Revenue$92,837,675RevenueAmt
DescOTHER UMASS MEMORIAL ENTITIES - UMASS MEMORIAL HAS A NUMBER OF SUBSIDIARY ENTITIES THAT FUNCTION PRIMARILY TO DELIVER HEALTH CARE TO PATIENTS OR TO SUPPORT THE DELIVERY OF HEALTH CARE TO PATIENTS OF UMASS MEMORIAL. THEY ACCOMPLISH THIS THROUGH THE DELIVERY OF HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THEY ALSO ACCOMPLISH THIS BY PROVIDING SUPPORT, OR PATIENT ADVOCACY SERVICES TO THE PATIENTS OF UMASS MEMORIAL, CENTRAL NEW ENGLAND, AND OTHER GEOGRAPHIES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$76,701,756TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$19,365TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$92,837,675TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,066,945,373TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1620IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee14420EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members166GoverningBodyVotingMembersCnt
Independent Voting Member89IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (145 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David L Bennett
Chairperson, UMM Health Care, Inc.1.01.0Yes (X)Yes (X)$0$0$0
John Bronhard
Treasurer, HealthAlliance Hospitals, Inc.40.00Yes (X)Yes (X)$302,079$0$14,638
Douglas S Brown
Secretary, UMM Health Care, Inc., Officer/Dir various5.040.0Yes (X)Yes (X)$0$738,024$254,799
Fernando Catalina MD
Chairperson, HealthAlliance Hospitals, Inc.1.00Yes (X)Yes (X)$0$0$0
Lisa Colombo
President, Clinton Hospital Association, Director of Hospitals Inc.40.00Yes (X)Yes (X)$34,042$0$2,038
Sheila Daly
President until 1/16, Clinton Hospital Association, Director Community Hospitals Inc.40.00Yes (X)Yes (X)$299,827$0$59,230
Eric W Dickson MD
President & CEO/Director, UMM Health Care, Inc., Officer/Dir various5.040.0Yes (X)Yes (X)$0$1,435,121$399,010
Paul D'Onfro
Vice Chairperson, HealthAlliance Hospitals, Inc.1.00Yes (X)Yes (X)$0$0$0
David Fairchild MD
President/Director until 5/15, UMM Accountable Care Organization, Inc.40.00Yes (X)Yes (X)$182,869$0$52,463
John Greenwood
President/Director, UMM Accountable Care Organization, Inc.40.00Yes (X)Yes (X)$304,633$0$96,328
Cheryl M Lapriore
President/Director, UMM Health Ventures, Inc.5.040.0Yes (X)Yes (X)$0$391,257$119,278
William McGrail Esquire
Chairperson, Clinton Hospital Association1.00Yes (X)Yes (X)$0$0$0
Sergio Melgar
Treasurer, UMM Health Care, Inc., Officer/Dir various5.040.0Yes (X)Yes (X)$0$825,672$118,182
Patrick Muldoon
President, UMM Med Ctr, Inc.,40.00Yes (X)Yes (X)$909,316$0$367,582
Michael D Murphy
Vice Chairperson, Marlborough Hospital1.00Yes (X)Yes (X)$0$0$0
Steven Roach
President/Director, Marlborough Hospital40.00Yes (X)Yes (X)$431,989$0$85,818
Richard Siegrist
Vice Chairperson, UMM Health Care, Inc.1.01.0Yes (X)Yes (X)$0$0$0
Dana E Swenson
President/Director, UMM Realty, Inc.5.040.0Yes (X)Yes (X)$0$300,894$115,187
Stephen E Tosi MD
President, UMM Med Group, Inc., Director various40.00Yes (X)Yes (X)$1,140,830$0$108,842
Deborah Weymouth
President/Director, HealthAlliance Hospitals, Inc.40.00Yes (X)Yes (X)$473,564$0$82,099
Douglas Ziedonis MD
President/Director, UMBHS, Inc.20.00Yes (X)Yes (X)$251,258$0$43,599
Howard Alfred MD
Director, UMM Accountable Care Organization, Inc.37.00Yes (X)$245,366$0$25,670
Gail Allen
Director, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
Michael W Ames
Director, Clinton Hospital Association1.00Yes (X)$0$0$0
Robert Babineau Jr MD
Director until 2/16, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
Peter Bagley MD
Director, UMM Accountable Care Organization, Inc.27.00Yes (X)$372,165$0$123,586
Richard K Bennett
Director, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Norman Boudreau
Director until 2/16, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
Leslie Bovenzi
Director, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
Alan P Brown MD
Director, UMM Behavioral Health System, Inc.31.00Yes (X)$204,327$0$36,125
John H Budd
Director until 3/16, UMM Health Ventures, Inc.1.00Yes (X)$0$0$0
Daniel Carlucci MD
Director, Marlborough Hospital32.00Yes (X)$34,736$0$2,787
J Paul Cherubini
Director until 4/16, Clinton Hospital Association1.00Yes (X)$0$0$0
John Clementi
Director, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
Andrew Cocchiarella MD
Director until 3/16, Marlborough Hospital40.00Yes (X)$398,749$0$39,444
Michael Collins MD
Director, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Benjamin H Colonero Jr
Director, Marlborough Hospital1.00Yes (X)$0$0$0
Edward J Connor
Director, Clinton Hospital Association1.00Yes (X)$0$0$0
William Corbett MD
Director, Marlborough Hospital40.00Yes (X)$516,030$0$204,950
Lois D Cornell
Director until 6/16, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Frederick G Crocker
Director, UMM Health Ventures, Inc.1.00Yes (X)$0$0$0
J Christopher Cutler FACHE
Director, UMM Medical Group, Inc.1.00Yes (X)$0$0$0
Edward D'Alelio
Director, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Dix F Davis
Director, UMM Realty, Inc.1.00Yes (X)$0$0$0
Arthur P DiGeronimo Jr
Director until 2/16, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
David Duncan
Director until 8/3/15, Coordinated Primary Care, Inc.40.00Yes (X)$108,991$0$18,481
Jordan Eisenstock MD
Director, UMM Accountable Care Organization, Inc.40.00Yes (X)$190,976$0$11,218
Kimberly Eisenstock MD
Director, Marlborough Hospital40.00Yes (X)$265,082$0$38,431
Robert Farragher
Director, Clinton Hospital Association1.00Yes (X)$0$0$0
Lynne Farrell
Director, HealthAlliance Home Health and Hospice, Inc.1.00Yes (X)$0$0$0
R Kevin Ferguson MD
Director, UMM Med Group, Inc.40.00Yes (X)$251,753$0$38,016
Robert W Finberg MD
Director, UMM Health Care, Inc.20.05.0Yes (X)$931,279$0$137,315
William Fischer
Director, Marlborough Hospital1.00Yes (X)$0$0$0
Roger Fitch
Director until 5/16, UMM Behavioral Health System, Inc.1.00Yes (X)$0$0$0
Terence Flotte MD
Director, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Amy Grassette
Director, UMM Behavioral Health System, Inc.1.00Yes (X)$0$0$0
Elvira Guardiola
Director, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Christie Hager
Director, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
David Harlan MD
Director, UMM Accountable Care Organization, Inc.20.00Yes (X)$160,770$0$34,529
Clark Henebry
Director until 4/16, Clinton Hospital Association1.00Yes (X)$0$0$0
Francis Hurley
Director, Marlborough Hospital1.00Yes (X)$0$0$0
Carlos Iitsuka
Director until 7/16, UMM Health Ventures, Inc.5.040.0Yes (X)$0$381,923$66,666
Joanne Johnson
Director, UMM Behavioral Health System, Inc.1.00Yes (X)$0$0$0
Paul Kangas
Director, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Kathryn Kennedy MD
Director, UMM Med Group, Inc.36.00Yes (X)$299,215$0$42,714
Peter Knox
Director, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Barbara Kupfer
Director, UMM Accountable Care Organization, Inc.1.00Yes (X)$0$0$0
Daniel H Lasser MD
Director, UMM Med Group, Inc.20.00Yes (X)$269,280$0$88,938
John Latimer MD
Director until 10/16, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
Shipen Li MD
Director, HealthAlliance Hospitals, Inc.40.00Yes (X)$324,282$0$38,420
Harris L MacNeill
Director, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Michael Mahan
Director, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
Edward Manzi
Director, UMM Behavioral Health System, Inc.1.00Yes (X)$0$0$0
Donata Martin
Director, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
Luis J Maseda
Director, Clinton Hospital Association1.00Yes (X)$0$0$0
Lalita Matta MD
Director, UMM Accountable Care Organization, Inc.1.00Yes (X)$0$0$0
Jessica McGarry
Director, UMM Behavioral Health System, Inc.1.00Yes (X)$0$0$0
Antonia McGuire
Director, UMM Accountable Care Organization, Inc.1.00Yes (X)$0$0$0
Cynthia M McMullen EdD
Director, UMM Behavioral Health System, Inc.1.00Yes (X)$0$0$0
Mary Ellen McNamara
Director, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Anthony J Mercadante
Director, HealthAlliance Home Health and Hospice, Inc.1.00Yes (X)$0$0$0
Nicholas Mercadante MD
Director, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
Jeffrey N Metzmaker MD
Director, UMM Med Group, Inc.29.00Yes (X)$431,059$0$40,121
Ann K Molloy
Director, Marlborough Hospital1.00Yes (X)$0$0$0
Dominic Nompleggi MD
Director, UMM Med Group, Inc.29.00Yes (X)$384,353$0$42,729
Jim Notaro
Director, UMM Behavioral Health System, Inc.1.00Yes (X)$0$0$0
O Nsidinanya Okike MD
Director, UMM Health Care, Inc.40.05.0Yes (X)$333,857$0$3,916
Daniel O'Leary MD
Director, Coordinated Primary Care, Inc.25.00Yes (X)$231,203$0$8,517
Edward J Parry III
Director, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Robert J Paulhus Jr
Director, Clinton Hospital Association1.00Yes (X)$0$0$0
Jeanne Paulino
Director, Clinton Hospital Association1.00Yes (X)$0$0$0
Raymond Pawlicki
Director, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Chris Philbin
Director, Clinton Hospital Association5.040.0Yes (X)$0$240,505$54,767
Michael Pici MD
Director, UMM Accountable Care Organization, Inc.1.00Yes (X)$0$0$0
Philip E Purcell
Director, Marlborough Hospital1.00Yes (X)$0$0$0
Gerard P Richer
Director, Marlborough Hospital1.00Yes (X)$0$0$0
Michael Rivard
Director, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
Catherine Rossi
Director, Clinton Hospital Association5.040.0Yes (X)$0$224,807$79,676
Carol Sanchez
Director until 3/16, Marlborough Hospital1.00Yes (X)$0$0$0
Paulette Seymour-Route PhD
Director, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Vibha Sharma MD
Director, Marlborough Hospital1.00Yes (X)$0$0$0
John Shea Esquire
Director, UMM Behavioral Health System, Inc.1.00Yes (X)$0$0$0
Robert Leslie Shelton MD
Director, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
Habib A Sioufi MD
Director, Clinton Hospital Association40.00Yes (X)$98,182$0$28,675
Markian Stecyk MD
Director until 3/16, Marlborough Hospital1.00Yes (X)$0$0$0
David Walton
Director, Marlborough Hospital1.00Yes (X)$0$0$0
Mary Whitney
Director, HealthAlliance Hospitals, Inc.1.00Yes (X)$0$0$0
Jack Wilson
Director, UMM Health Care, Inc.1.01.0Yes (X)$0$0$0
Lynda M Young MD
Director, UMM Health Care, Inc.1.01.0Yes (X)$38,186$0$109
Maureen Croteau
Assistant Clerk, Clinton Hospital Association40.00Yes (X)$56,311$0$23,751
Ann-Maria D'Ambra
Assistant Secretary, Marlborough Hospital40.00Yes (X)$51,669$0$24,532
Deborah Ekstrom
President unitl 1/16, Community HealthLink, Inc.40.00Yes (X)$262,264$0$101,325
Katharine Bolland Eshghi
Assistant Secretary, UMM Health Care, Inc.5.040.0Yes (X)$0$446,099$99,297
Nicole Gagne
President, Community HealthLink, Inc.40.00Yes (X)$138,931$0$51,329
John Glassburn
Secretary, UMM Community Hospitals, Inc.5.040.0Yes (X)$0$183,869$27,316
Steven McCue
Treasurer, Marlborough Hospital40.00Yes (X)$203,530$0$36,233
Lynn A Morin
Assistant Clerk, HealthAlliance Hospitals, Inc.40.00Yes (X)$88,305$0$7,392
William O'Brien
Secretary, UMBHS, Inc.5.040.0Yes (X)$0$128,872$56,969
Jeffrey Olson
Treasurer, Clinton Hospital Assoc.40.00Yes (X)$165,334$0$43,829
Jeanne Shirshac
Treasurer, UMM Accountable Care Organization, Inc.5.040.0Yes (X)$0$242,946$51,524
Francis W Smith
Secretary, UMM Medical Group, Inc.5.040.0Yes (X)$0$211,110$44,651
Michele Streeter
Treasurer, UMM Med Group, Inc.40.00Yes (X)$543,626$0$200,156
James P Cyr
Sr. VP, Operations (UMMMC)40.05.0$348,466$0$167,720Yes (X)
Therese Day
VP, Finance / CFO of Med Center40.05.0$370,867$0$137,469Yes (X)
Robert Feldmann
VP, Corporate Controller5.040.0$0$355,276$109,162Yes (X)
Barbara Fisher
Sr VP, Operations (UMMMC)40.05.0$353,025$0$170,362Yes (X)
Patricia George
VP & Deputy CIO, until 11/155.040.0$0$386,592$51,347Yes (X)
Margaret Hudlin MD
CMO/VP Perioperative Svcs, until 9/1/1640.05.0$546,659$0$61,664Yes (X)
Cathy Jewell
Sr VP, Chief Nursing Officer40.05.0$352,592$0$137,588Yes (X)
Bart Metzger
Sr VP, Chief HR Officer5.040.0$0$359,315$51,512Yes (X)
John T Randolph
VP, Chief Corporate Compliance5.040.0$0$273,396$126,045Yes (X)
Alice Shakman
Sr. VP, Operations (UMMMC)40.05.0$352,925$0$125,192Yes (X)
Jeffrey A Smith MD
Executive VP, COO40.05.0$385,203$0$39,390Yes (X)
Timothy Tarnowski
Sr VP, Chief Info Officer5.040.0$0$558,717$92,115Yes (X)
Diane Thompson
Sr. VP, Chief Nursing Officer until 4/9/1540.05.0$549,531$0$24,956Yes (X)
David C Ayers MD
Physician, Chair of Orthopedics and Physical Rehab - Med Group33.00$664,005$0$42,147Yes (X)
Adel Bozorgzadeh MD
Physician, Chief of Organ Transplantation - Med Group32.00$737,836$0$42,729Yes (X)
Demetrius Litwin MD
Physician, Chair of Surgery Dept - Med Group28.00$741,852$0$45,385Yes (X)
Ajit S Puri MD
Physician, Division Chief of Neuroimaging and Intervention - Med Group40.00$690,581$0$38,256Yes (X)
Jennifer Walker MD
Physician, Division Chief of Cardiac Surgery - Med Group30.00$635,639$0$41,378Yes (X)
Sharon Hylka
Former Sr. VP, Hospital Admin until 1/1400$298,006$0$109Yes (X)
Robert A Phillips MD
Former Med Dir, Heart & Vascular COE, until 6/7/1300$783,997$0$109Yes (X)
Arthur M Pappas MD
Former Director UMM Community Hospitals, Inc. until 3/27/1300$13,781$0$2,129Yes (X)
Michael J Cofone
Former Officer/Director until 6/14, HealthAlliance Hospitals, Inc.00$93,335$0$12,518Yes (X)
Candra D Szymanski
Former Interim President/Director until 12/13, Marlborough Hospital00$35,868$0$1,608Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$19,884,388TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,684,396TotReportableCompRltdOrgAmt
Total Other Compensation$5,414,083TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2658IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UMass Memorial Shields Pharmacy
25 Rockwood RoadMarshfieldMA02050Pharmacy Management Services$19,418,849
Xerox Business Services LLC
PO Box 201322DallasTX75320I/S Management Services$17,651,003
Quest Diagnostics Inc
PO Box 51048Los AngelesCA90074Laboratory Services$10,477,702
Innerwireless Inc
1155 Kas DriveRichardsonTX75080Consulting Services$9,072,656
SODEXO INC & AFFILIATES
PO BOX 360170PITTSBURGHPA152515170Dietary Management Services$6,084,221
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K201CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Fundraising$364,455FundraisingAmt
Related Organizations$841,042RelatedOrganizationsAmt
Government Grants$10,868,394GovernmentGrantsAmt
All Other Contributions$1,800,494AllOtherContributionsAmt
Noncash Contributions$5,834NoncashContributionsAmt
Total Contributions$13,874,385TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE622110$2,080,346,810$2,080,346,810
Transitional payments622110$25,976,496$25,976,496
SPECIAL MEDICAID PAYMENTS622110$196,003,744$196,003,744
AFFILIATE RELATED PROGRAMS622110$8,305,494$8,305,494
OTHER PSR & JV income622110$40,469,765$38,034,601$2,435,164

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,351,102,309TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,662,159TotalRevenueColumnAmt
Related Or Exempt Func Income$58,510RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$8,123UnrelatedBusinessRevenueAmt
Exclusion$5,595,526ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,745,836RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,454,635RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,291,201RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,291,201TotalRevenueColumnAmt
Exclusion$1,291,201ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$33,099,803SecuritiesAmt
Other$801,134OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$32,155,965SecuritiesAmt
Other$1,282,791OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$943,838SecuritiesAmt
Other-$481,657OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$462,181TotalRevenueColumnAmt
Related Or Exempt Func Income$8,947RelatedOrExemptFuncIncomeAmt
Exclusion$453,234ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$336,811FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$364,455ContriRptFundraisingEventAmt
Fundraising Direct Expenses$333,107FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,704TotalRevenueColumnAmt
Exclusion$3,704ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Lab services621500$1,126,902$1,126,902
Cafeteria income722514$6,746,695$6,746,695
Other income900099$381,216$381,216

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,892TotalRevenueColumnAmt
Related Or Exempt Func Income$33,244RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,648ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,289,705OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,380,685,644TotalRevenueColumnAmt
Related Or Exempt Func Income$2,349,149,062RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,570,189UnrelatedBusinessRevenueAmt
Exclusion$14,092,008ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,293,555TotalAmt
Program Services$2,293,555ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$19,365TotalAmt
Program Services$19,365ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$20,973,671TotalAmt
Program Services$14,779,530ProgramServicesAmt
Management And General$6,194,141ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$830,241TotalAmt
Program Services$768,436ProgramServicesAmt
Management And General$61,805ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$941,290,531TotalAmt
Program Services$811,822,891ProgramServicesAmt
Management And General$129,146,899ManagementAndGeneralAmt
Fundraising$320,741FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$66,849,598TotalAmt
Program Services$57,674,874ProgramServicesAmt
Management And General$9,171,986ManagementAndGeneralAmt
Fundraising$2,738FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$128,886,215TotalAmt
Program Services$106,582,643ProgramServicesAmt
Management And General$22,288,414ManagementAndGeneralAmt
Fundraising$15,158FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$62,890,080TotalAmt
Program Services$53,699,708ProgramServicesAmt
Management And General$9,180,206ManagementAndGeneralAmt
Fundraising$10,166FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$23,977,410TotalAmt
Program Services$23,977,410ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$775,714TotalAmt
Program Services$309,066ProgramServicesAmt
Management And General$466,648ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$144,424TotalAmt
Program Services$4,628ProgramServicesAmt
Management And General$139,796ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$251,639TotalAmt
Program Services$251,639ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$64,000TotalAmt
Fundraising$64,000FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$415,857TotalAmt
Program Services$15,949ProgramServicesAmt
Management And General$399,908ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$315,631,600TotalAmt
Program Services$305,011,299ProgramServicesAmt
Management And General$10,515,629ManagementAndGeneralAmt
Fundraising$104,672FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$377,360TotalAmt
Program Services$139,062ProgramServicesAmt
Management And General$238,268ManagementAndGeneralAmt
Fundraising$30FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,078,277TotalAmt
Program Services$14,946,610ProgramServicesAmt
Management And General$5,120,362ManagementAndGeneralAmt
Fundraising$11,305FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,310,345TotalAmt
Program Services$5,165,443ProgramServicesAmt
Management And General$1,144,902ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$57,922,688TotalAmt
Program Services$54,868,006ProgramServicesAmt
Management And General$3,054,682ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,049,101TotalAmt
Program Services$1,944,328ProgramServicesAmt
Management And General$104,124ManagementAndGeneralAmt
Fundraising$649FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,746,271TotalAmt
Program Services$1,226,920ProgramServicesAmt
Management And General$518,788ManagementAndGeneralAmt
Fundraising$563FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$12,283,313TotalAmt
Program Services$11,859,393ProgramServicesAmt
Management And General$423,920ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$109,886,318TotalAmt
Program Services$105,059,205ProgramServicesAmt
Management And General$4,827,113ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$30,725,415TotalAmt
Program Services$29,236,039ProgramServicesAmt
Management And General$1,489,376ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical supplies$274,420,140$274,412,912$7,228
System overhead activities$175,508,772$113,441,720$62,067,052
Purchased Services$46,358,519$43,354,428$2,969,384$34,707
Other direct expenses$17,097,263$16,972,304$124,559$400

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$21,195,474TotalAmt
Program Services$17,108,010ProgramServicesAmt
Management And General$4,017,239ManagementAndGeneralAmt
Fundraising$70,225FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,341,253,156TotalAmt
Program Services$2,066,945,373ProgramServicesAmt
Management And General$273,672,429ManagementAndGeneralAmt
Fundraising$635,354FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$119,788,165BOYAmt
EOY$191,489,188EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$65,070,897BOYAmt
EOY$63,766,485EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$562,552BOYAmt
EOY$287,699EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$250,995,615BOYAmt
EOY$233,620,773EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$4,703,689BOYAmt
EOY$4,939,026EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$33,456,546BOYAmt
EOY$708,634EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$29,117,718BOYAmt
EOY$33,651,047EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,899,661BOYAmt
EOY$10,196,362EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,701,073,995LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,087,059,979LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$583,528,506BOYAmt
EOY$614,014,016EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$72,182,619BOYAmt
EOY$106,919,586EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$519,994,237BOYAmt
EOY$247,650,026EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$63,800,082BOYAmt
EOY$77,551,505EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$524,735,084BOYAmt
EOY$233,775,196EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,290,835,371BOYAmt
EOY$1,818,569,543EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$286,431,598BOYAmt
EOY$262,689,839EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$338,032BOYAmt
EOY$1,009,563EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,297,369BOYAmt
EOY$8,501,757EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$327,411,105BOYAmt
EOY$375,930,725EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$14,680EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$43,756,483BOYAmt
EOY$6,003,466EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$50,000,000BOYAmt
EOY$55,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$668,427,726BOYAmt
EOY$547,606,667EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,382,662,313BOYAmt
EOY$1,256,756,697EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$747,417,618BOYAmt
EOY$463,903,452EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$76,999,973BOYAmt
EOY$43,180,568EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$83,755,467BOYAmt
EOY$54,728,826EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$908,173,058BOYAmt
EOY$561,812,846EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,290,835,371BOYAmt
EOY$1,818,569,543EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$39,432,488ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,229,277NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$393,021,977OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$251,639OtherActivitiesAmt
Total Lobbying Expenditures$251,639TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYAmounts represent percentage of lobbying expenses included in membership dues.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYAmounts represent percentage of lobbying expenses included in membership dues.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (true)AgentTrusteeEtcInd
Beginning Balance$14,575BeginningBalanceAmt
Additions During Year$2,998AdditionsDuringYearAmt
Distributions During Year$2,893DistributionsDuringYearAmt
Ending Balance$14,680EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$109,418,023BeginningYearBalanceAmt
Investment Earnings Or Losses$8,142,465InvestmentEarningsOrLossesAmt
Other Expenditures$5,098,294OtherExpendituresAmt
End Year Balance$112,462,194EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$98,294,963BeginningYearBalanceAmt
Contributions$2,557,800ContributionsAmt
Investment Earnings Or Losses$12,021,986InvestmentEarningsOrLossesAmt
Other Expenditures$3,456,726OtherExpendituresAmt
End Year Balance$109,418,023EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.69PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.31TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,807,895OtherCostOrOtherBasisAmt
Book Value$8,807,895BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$816,592,345OtherCostOrOtherBasisAmt
Depreciation$502,096,923DepreciationAmt
Book Value$314,495,422BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,955,026OtherCostOrOtherBasisAmt
Depreciation$12,110,854DepreciationAmt
Book Value$10,844,172BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$749,226,170OtherCostOrOtherBasisAmt
Depreciation$568,859,754DepreciationAmt
Book Value$180,366,416BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$103,492,559OtherCostOrOtherBasisAmt
Depreciation$3,992,448DepreciationAmt
Book Value$99,500,111BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$614,014,016TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
BENEFICIAL INTEREST IN TRUSTS$66,380,579F
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
BIO VENTURES
UNITS IN INVESTMENT PARTNERSHIP$181,269,447F
OTHER
FieldValueIRS element (for citing)
Total Book Value Securities$247,650,026TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED PARTIES$2,432,911
CSV LIFE INSURANCE
MALPRACTICE TAIL COVERAGE$33,862,724
LONG TERM SECURITY DEPOSITS$63,722
OTHER NON-CURRENT ASSETS$471,544
RECEIVABLE FROM MEDICAID$179,005,364
DUE FROM THIRD PARTIES$17,877,251
CASH SECURITY$14,680
DEFERRED TAX ASSET$47,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$233,775,196TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (14 entries)

DescDescAmtAmt
DUE TO UMASS MEDICAL SCHOOL$139,559,305
THIRD PARTY LIABILITIES$68,355,031
DUE TO RELATED PARTIES$3,409,148
ACCRUED PENSION POST RETIREMENT BENEFITS$287,876,097
O/S LOSS RESERVES
ESTIMATED MALPRACTICE COSTS$33,862,724
OTHER$1,792,489
ANNUITY PAYABLE
LT LIABILITY ARO$9,858,847
ACCRUED LT LIABILITIES$842,901
CLAIMS RESERVE$89,125
MEDICARE RESERVES$30,000
NOTE PAYABLE TO AFFILIATES (MC AND UMBHS)
OTHER LOSS RESERVE$1,931,000
FieldValueIRS element (for citing)
Total Liability$547,606,667TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 3a(i) Sch d, part v, line 3a(i)HEALTHALLIANCE HOSPITAL - YES BANK OF AMERICA MERRILL LYNCH HOLDS THE BERNARD W DOYLE TRUST FOR HEALTHALLIANCE HOSPITAL. DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE HOSPITAL . BANK OF AMERICA MERRILL LYNCH IS AN UNRELATED ORGANIZATION. BNY MELLON WEALTH MANAGEMENT HOLDS THE FOLLOWING TRUSTS FOR HEALTHALLIANCE HOSPITAL: TRUST U/WILL PART 11 WILLIAM H CROPPER TRUST U/WILL PART 15 WILLIAM H CROPPER TRUST U/WILL PART 18 WILLIAM H CROPPER TRUST UNDER 2ND CODICIL OF WILL OF WILLIAM H CROPPER TRUST UNDER 4TH CODICIL WILLIAM H CROPPER DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE HOSPITAL. BNY MELLON WEALTH MANAGEMENT IS AN UNRELATED ORGANIZATION.
Schedule D, Part V Endowment FundsThe Medical Center's endowment funds are the beneficial interest in the funds held by the UMMHC (Parent EIN 04-3358566).
Schedule D, Part V, Line 1e Endowment Funds - Other expenditures for facilities and programsUMMHC (Parent) was previously included in the group return #3642 EIN 91-2155626 however effective 9/30/16 the Parent has been removed from the group return and is reported on a stand alone Form 990. Line 1e Other expenditures for facilities and programs includes the removal of the Parent's endowment funds of ($43,468,455).
Schedule D, Part IV, Line 1b Agent, trustee, custodian, or other intermediary arrangementTenant security deposits for UMass Memorial Realty, Inc.
Schedule D, Part IV, Line 2b Explanation of escrow agreementTenant security deposits 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 fundsMEDICAL CENTER - THE MEDICAL CENTER'S BENEFICIAL INTEREST IN FUNDS ARE HELD BY THE PARENT, A RELATED ORGANIZATION. 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. HEALTHALLIANCE HOSPITAL - 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. CLINTON HOSPITAL - 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. MARLBOROUGH HOSPITAL - THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE DIRECTED IN ACCORDANCE WITH THE DONOR'S INTENT, INCLUDING THE PRESERVATION OF THE ORIGINAL GIFT AND VARIOUS PURPOSES INCLUDING CHARITY CARE, MEDICAL EDUCATION, RESEARCH, HEALTH CARE SERVICES, BUILDINGS AND EQUIPMENT.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteIncome Taxes: 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 $301,000 and $94,500 for the years ended September 30, 2016 and 2015, respectively, and is recorded as part of supplies and other expense in the accompanying consolidated statements of operations. The System does not believe it has any significant uncertain tax positions.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1JNB ASSOCIATESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line121 WATER STREETAddressLine1Txt
CityAMESBURYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01913ZIPCd
FieldValueIRS element (for citing)
ActivityFUNDRAISINGActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Retained By Contractor$64,000RetainedByContractorAmt
Net To Organization-$64,000NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$0TotalGrossReceiptsAmt
Total Retained By Contractors$64,000TotalRetainedByContractorsAmt
Total Net To Organization-$64,000TotalNetToOrganizationAmt
Licensed StatesMALicensedStatesCd
Licensed StatesNHLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CNEHA GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$275,898GrossReceiptsEvent1Amt
Charitable Contri Event1$144,331CharitableContriEvent1Amt
Gross Revenue Event1$131,567GrossRevenueEvent1Amt
Non Cash Prizes Event1$30,154NonCashPrizesEvent1Amt
Rent Facility Costs Event1$78,751RentFacilityCostsEvent1Amt
Food And Beverage Event1$0FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$22,662OtherDirectExpensesEvent1Amt
Event2CLINTON GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$121,789GrossReceiptsEvent2Amt
Charitable Contri Event2$65,407CharitableContriEvent2Amt
Gross Revenue Event2$56,382GrossRevenueEvent2Amt
Rent Facility Costs Event2$21,805RentFacilityCostsEvent2Amt
Food And Beverage Event2$24,859FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$9,718OtherDirectExpensesEvent2Amt
Other Events Total5OtherEventsTotalCnt
Gross Receipts Other Events$303,579GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$154,717CharitableContriOtherEventsAmt
Gross Revenue Other Events$148,862GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$22,164NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$53,661RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$16,995FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$52,338OthDirectExpnssOtherEventsAmt
Gross Receipts Total$701,266GrossReceiptsTotalAmt
Charitable Contributions Tot$364,455CharitableContributionsTotAmt
Gross Revenue Total Events$336,811GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$52,318NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$154,217RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$41,854FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$84,718OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$333,107DirectExpenseSummaryEventsAmt
Net Income Summary$3,704NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule G, Part IIFormAndLineReferenceDesc
ExplanationPART II COL A: EVENT #1 1. THE HOSPITAL GOLF TOURNAMENT WAS HELD BY CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. COL B: EVENT #2 2. THE HOSPITAL GOLF TOURNAMENT WAS HELD BY BY CLINTON HOSPITAL ASSOCIATION. COL C: OTHER EVENTS 3. SPEAKEASY HELD BY HEALTHALLIANCE HOSPITALS 4. LOVELIGHT HELD BY HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC 5. GALA BALL WAS HELD BY CENTRAL NEW ENGLAND HEALTHALLIANCE, INC 6. GOLF TOURNAMENT WAS HELD BY MARLBOROUGH HOSPITAL, INC 7. MENTAL HEALTH MONTH EVENT WAS HELD BY COMMUNITY HEALTHLINK, INC.ExplanationTxt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,936,908TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,992,218DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,944,690NetCommunityBenefitExpnsAmt
Total Expense0.0080TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$381,007,912TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$338,124,618DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,883,294NetCommunityBenefitExpnsAmt
Total Expense0.0231TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,411,581TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,319,433DirectOffsettingRevenueAmt
Net Community Benefit Expns$92,148NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$435,356,401TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$377,436,269DirectOffsettingRevenueAmt
Net Community Benefit Expns$57,920,132NetCommunityBenefitExpnsAmt
Total Expense0.0312TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,038,253TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,203,184DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,835,069NetCommunityBenefitExpnsAmt
Total Expense0.0010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$234,163,901TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$128,897,437DirectOffsettingRevenueAmt
Net Community Benefit Expns$105,266,464NetCommunityBenefitExpnsAmt
Total Expense0.0566TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$89,010,247TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71,335,252DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,674,995NetCommunityBenefitExpnsAmt
Total Expense0.0095TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$153,202TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,850DirectOffsettingRevenueAmt
Net Community Benefit Expns$103,352NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,238,059TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,238,059DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$329,603,662TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$204,723,782DirectOffsettingRevenueAmt
Net Community Benefit Expns$124,879,880NetCommunityBenefitExpnsAmt
Total Expense0.0672TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$764,960,063TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$582,160,051DirectOffsettingRevenueAmt
Net Community Benefit Expns$182,800,012NetCommunityBenefitExpnsAmt
Total Expense0.0983TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,799TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,799NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,806TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,806NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,190TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,190NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$146,727TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$146,727NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$164,522TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$164,522NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$26,537,000BadDebtExpenseAmt
Bad Debt Expense Attributable$1,445,372BadDebtExpenseAttributableAmt
Reimbursed By Medicare$393,264,874ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$407,766,841CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,501,967MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp (4 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndOtherOtherIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndFAP Notice DisplayedFAPNoticeDisplayedIndCommuntity Notified FAPCommuntityNotifiedFAPIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndProvided Nonprofit ContactProvidedNonprofitContactIndOther Actions TakenOtherActionsTakenInd
UMASS MEMORIAL MEDICAL CENTER INC
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)14Yes (true)falseYes (true)Yes (true)Yes (X)http://www.umassmemorialhealthcare.org/sites/umass-memorial-hospitalYes (X)http://www.worcesterma.gov/uploads/e3/8b/e38b32c7d4a96243c9c48bbd3250b00e/chYes (X)Yes (X)Yes (true)15Yes (true)https://www.umassmemorialhealthcare.org/sites/umass-memorial-hospital/files/Documents/CB%falsefalseYes (true)Yes (X)200.0600.0Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)See Sch H, Part V, Section B, Line 16iYes (X)See Sch H, Part V, Section B, Line 16iYes (X)See Sch H, Part V, Section B, Line 16iYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
HEALTHALLIANCE HOSPITAL INC
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)http://www.umassmemorialhealthcare.org/sites/umass-memorial-hospital/files/Documents/Members/5-21-15Yes (X)Yes (X)Yes (true)16Yes (true)www.healthalliance.comfalsefalseYes (true)Yes (X)200.0600.0Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.umassmemorialhealthcare.org/healthalliance-hospitalYes (X)https://www.umassmemorialhealthcare.org/healthalliance-hospitalYes (X)https://www.umassmemorialhealthcare.org/healthalliance-hospitalYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalseYes (X)Yes (X)
MARLBOROUGH HOSPITAL
3falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)http://www.umassmemorialhealthcare.org/marlborough-hospitalYes (X)http://www.mwhealth.org/Portals/0/Uploads/Documents/MetroWestCommunityHealth Assessment2016.pdfYes (X)Yes (true)13Yes (true)http://www.umassmemorialhealthcare.org/about-us/community-benefits-program/marlborough-hfalsefalseYes (true)Yes (X)200.0600.0Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.umassmemorialhealthcare.org/marlborough-hospital/financial-counselingYes (X)https://www.umassmemorialhealthcare.org/marlborough-hospital/financial-counselingYes (X)https://www.umassmemorialhealthcare.org/marlborough-hospital/financial-counselingYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
CLINTON HOSPITAL ASSOCIATION
4falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)14Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)https://www.umassmemorialhealthcare.org/sites/umass-memorial-hospital/files/Documents/Members/ClintoYes (X)http://chna9.com/index.htmlYes (X)Yes (X)Yes (true)15Yes (true)clintonhospital.orgfalsefalseYes (true)Yes (X)200.0600.0Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)See Sch H, Part V, Section B, Line 16iYes (X)See Sch H, Part V, Section B, Line 16iYes (X)See Sch H, Part V, Secton B, Line 16iYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (40 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3 Facility , 1Facility , 1 - UMass Memorial Medical Center. The most recent CHNA also includes an Impact Evaluation Summary (final Appendix) of previous CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - UMass Memorial Medical Center. Yes, input from diverse persons who represent the community was taken into account. UMass Memorial Medical Center joined efforts with the Worcester Division of Public Health (WDPH), Fallon Health and Common Pathways, a healthy communities coalition that is comprised of 30+ health and human service organizations, in the development of its Community Health Needs Assessment (CHNA). The director of the WDPH, UMass Memorial Vice President of Community Relations, and Fallon Health co-chaired the leadership process to develop a CHNA and Community Health Improvement Plan (CHIP) for the Greater Worcester region. During the assessment process, community members were engaged in key informant interviews, focus groups, and community dialogues conducted in several low income/underserved neighborhoods, including Worcester's Bell Hill/Plumley Village neighborhood, which has a large Hispanic, Black and new immigrant population, the Main South area, which is also very low income with significant minority/medically-underserved populations. Dialogues were also held at Worcester's two community health centers and ethnic and minority-serving, community and faith-based organizations including; the Albanian Association, African Community Education, the Boys & Girls Club of Worcester, Iglesia Evangelica de Worcester, Grace Christian Centre Church the Green Hill Neighborhood Association and others. The dialogues allowed for community members of underserved areas 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 (Shrewsbury, Grafton, Millbury, West Boylston, Leicester, and Holden). More than a total of 1,777 individuals (including participants in an online community survey) representing diverse institutions and community organizations from across the region worked together to establish a roadmap for the future health of the region. The process included a Steering Committee comprised of a diverse number of stakeholders that advised and informed the CHNA.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - UMass Memorial Medical Center. UMass Memorial conducted the CHNA in collaboration with the Worcester Division of Public Health and Fallon Health. Additional partners included: YWCA of Central MA South East Asian Coalition March of Dimes Worcester Public Schools Family Health Center of Worcester Edward M. Kennedy Health Center UMass Medical School Worcester Police Department Worcester Senior Center Worcester Food & Active Living Policy Council WalkBike Worcester Regional Environmental Council of Worcester MA Department of Public Health United Way of Central MA Clark University Mosakowski Institute for Public Enterprise Worcester Regional Research Bureau
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - UMass Memorial Medical Center. The CHNA was publicly announced to the community at an event attended by more than 100 community stakeholders and hosted by the Worcester City Manager, Worcester Director of Public Health, Senior Vice President of UMass Memorial Health Care, President of the UMass Memorial Health Care Hospitals and the UMass Memorial Vice President of Community Relations. The hospital and WDPH also engaged in various media venues including; print and online articles in local news and community newspapers, CHNA-8, a Healthy Communities Coalition and interviews televised on WCCATV13.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - UMass Memorial Medical Center. The hospital conducted its most recent Community Health Needs Assessment in tax year 2014 and developed its implementation strategy. The Board of Trustees approved the Community Health Needs Assessment on the last day of the tax year 2014 and implementation strategies were developed and approved in tax year 2015. The prioritization process was lead by the Worcester Division of Public Health, Fallon Health and the hospital Vice President of Community Benefits and included input from approximately 100 community stakeholders. This process will result in the development of the 2016 Greater Worcester Community Health Improvement Plan (CHIP). The hospital's Community Benefit Implementation Strategy has alignment with the CHIP. The other needs that are not included in the CHNA/CHIP are not being addressed because they are not a part of the identified priority CHIP Domain areas and due to limited funding.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - UMass Memorial Medical Center. Financial Assistance - UMassMemorial Medical Center employs a staff of Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors who are available by phone or by appointment to support patients in applying for financial assistance and resolving their medical bills. Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors provide potentially eligible patients with the appropriate methods of applying for health care coverage as listed on the Massachusetts ConnectorCare website
Schedule H, Part V, Section B, Line 16 Facility , 2Facility , 2 - UMASS MEMORIAL MEDICAL CENTER. Sch H, Part V, Section B, Lines 16 a-c Website for FAP, its application, and its plain language summary: https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/patients-visitors/patient-resources/financial-assistance
Schedule H, Part V, Section B, Line 18d Facility , 1Facility , 1 - UMass Memorial Medical Center. Medical Center Policy on Liens-No liens will be initiated against a patient's primary residence or motor vehicle without written approval from UMMMC's Board of Trustees. All approvals by the Board of Trustees will be made on an individual case basis. We also send statements and make phone calls.
Schedule H, Part V, Section B, Line 19d Facility , 1Facility , 1 - UMass Memorial Medical Center. UMMMC refers accounts to a credit agency when written off as bad debt for further collections. These agencies continue collections without impact to the credit rating.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - UMass Memorial Medical Center. UMMC utilized the look back method to determine the percentage of the amount generally billed to patients as it applies to this Financial Assistance Policy. A combination of the previous year charges and payments for commercial and Medicare insurance products are used to determine the Payment on Account Factor (PAF).
Schedule H, Part V, Section B, Line 24 Facility , 1Facility , 1 - UMass Memorial Medical Center. UMMMC charges all patients the published charge. When the patient has been determined for a discount, the discount is then applied to the total charge, and the amount owed by the guarantor is now reduced.
Schedule H, Part V, Section B, Line 3 Facility , 1Facility , 1 - UMass Memorial - HealthAlliance Hospital. The Community Health Assessment process consisted of a comprehensive gathering of quantitative (i.e., health status indicators) and qualitative data, through focus groups with community members and through interviews with community members and community leaders. Participants were drawn from among community-based, educational, civic, governmental, and faith-based professionals, health care providers, and others, and every effort was made to ensure racial/ethnic, socioeconomic, and geographic diversity in the composition of focus groups and interview participants. HealthAlliance Hospital collaborated with the Joint Coalition on Health (JCOH) and Heywood Hospital to conduct a comprehensive Community Health Assessment that gathered, analyzed and documented qualitative and quantitative data.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - UMass Memorial - HealthAlliance Hospital. The Community Health Assessment process consisted of a comprehensive gathering of Quantitative (i.e., health status indicators) and qualitative data, through focus groups with community members and through interviews with community members and community leaders. 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 (CHA) that gathered, analyzed and documented qualitative and quantitative data. Qualitative data for the CHA was gathered through 16 Focus Groups with 228 participants including, public health professionals, social service professionals, clinicians and other medical providers, behavioral health providers, Latino adults and youth, Hmong individuals, Black/African American adults, Brazilian adult women, Veterans, LGBTQ youth, high school students, adults with major mental illness and homeless individuals. 26 Key Informant interviews were conducted with individuals representing diverse, low-income and medically-underserved communities and populations of North Central Massachusetts.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - UMass Memorial - HealthAlliance Hospital. HealthAlliance Hospital conducted a Community Health Needs Assessment with Heywood Healthcare (Heywood Hospital and Athol Hospital)
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - UMass Memorial - HealthAlliance Hospital. . The Community Health Needs Assessment was conducted with input from our community partners: Community Health Connections, Heywood Healthcare, Athol Hospital, Heywood Hospital, The Joint Coalition on Health and the Montachusett Public Health Network
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - UMass Memorial - HealthAlliance Hospital. Community Health Assessment was made available through our website and presentations to various organizations and community forums throughout our service areas. The Community Health Assessment is also available upon request. You can find the link to our Community Health Needs Assessment here: http://www.umassmemorialhealthcare.org/sites/umass-memorial-hospital/files/Documents/Members/5-21-15%20Final%20Community_Health_Assessment_of_North_Central_MA.pdf
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - UMass Memorial - HealthAlliance Hospital. The hospital responds to priority health needs in many ways, and in times that are critical for patients in crisis. In addition to charity care, indigent care, a significant number of programs and services offered address some of the priority needs identified in the CHNA. Our hospital does not have the available resources to develop initiatives to meet all identified health needs, which makes collaboration with community resources critical.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - HealthAlliance Hospital. HealthAlliance Hospital Patients who are scheduled to be admitted and have been identified as non insured and/or in need of financial assistance will have an appointment scheduled prior to admission to meet with a Financial Counselor. Patients, who are admitted to the hospital through the Emergency Department, will be visited by the Financial Counselor once the patient is on the inpatient floor. The meeting will be held with the patient and/or family as the patient's medical condition permits.
Schedule H, Part V, Section B, Line 20 Facility , 1Facility , 1 - HealthAlliance Hospital. 1. Patients with Self-Pay responsibilities, including emergency, elective, scheduled and urgent services will receive an initial bill delineating the services and amounts due for which they are responsible. 2. For any Self-Pay responsibilities that remain unpaid after the initial bill, the patient will receive a series of monthly statements for 4 months or until the balance is resolved, the 4th statement indicated as a final notice. 3. Provider Accounting Staff will make a telephone call to any patient with an outstanding Self-Pay balance of $1,000 or more during the normal Self-Pay billing and collection process. 4. HAH will send a final notice by certified mail for balances over $1,000 where notices have not been returned as "incorrect address" or "undeliverable'' for emergency care patients. 5. Additional notices and/or letters may be sent to debtor patients during the billing and collection process in an effort to resolve outstanding balances. 6. Returned mail and/or undeliverable mail will be researched by the Provider Accounting staff to obtained valid addresses. Databases and prior visit information will be utilized. 7. All such efforts to collect balances, as well as any patient initiated inquiries, will be documented on the guarantor's account and available for review.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - HealthAlliance Hospital. HealthAlliance charges utilized a lookback method to determine the percentage of the amount generally billed to patients as it applies to this Financial Assistance Policy. A combination of the previous year charges and payments for commercial and Medicare insurance products are used to determine the Payment on Account Factor (PAF).
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Marlborough Hospital. The process included gathering community input, 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 key informant interviews and focus groups. Numerous community partners who represent the underserved provided input. Partners included Councils on Aging, public schools' nursing directors, Departments of Public Health, Employment Options (a mental health agency), city representatives and members of local faith communities.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - Marlborough Hospital. The CHNA was completed in conjunction with the MetroWest Medical Center.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Marlborough Hospital. The CHNA was completed in conjunction with MetroWest Health Foundation, MetroWest Medical Center, Hudson Health Department, and Framingham Health Department.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Marlborough Hospital. The hospital responds to priority health needs in many ways, and in times that are critical for patients in crisis. In addition to charity care, indigent care, a significant number of programs and services offered address the priority needs identified in the Community Health Needs Assessment (CHNA). Our hospital does not have the available resources to develop initiatives to meet every priority health need identified, which makes collaboration with community agencies critical. The hospital is not currently addressing all chronic conditions due to limited resources.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - Marlborough Hospital. Financial Assistance - Marlborough Hospital employs Financial Counselors who are available by phone or by appointment to support patients in applying for financial assistance and for help resolving their medical bills. Financial Counselors provide potentially eligible patients with the appropriate methods of applying for health care coverage as listed on the Massachusetts ConnectorCare website.
Schedule H, Part V, Section B, Line 18d Facility , 1Facility , 1 - Marlborough Hospital. Policy on Liens-No liens will be initiated against a patient's primary residence or motor vehicle without written approval from Marlborough's Board of Trustees. All approvals by the board of Trustees will be made on an individual case bases. We also send statements and make phone calls.
Schedule H, Part V, Section B, Line 19d Facility , 1Facility , 1 - Marlborough Hospital. Marlborough engages a third party agency to assist on all self pay accounts at origination. They refer accounts to a credit agency when written off as bad debt for further collections. These agencies continue collections without impact to the credit rating.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - Marlborough Hospital. Marlborough Hospital utilized the look back method to determine the percentage of the amount generally billed to patients as it applies to this Financial Assistance Policy. A combination of the previous year charges and payments for commercial and Medicare insurance products are used to determine the Payment on Account Factor (PAF).
Schedule H, Part V, Section B, Line 24 Facility , 1Facility , 1 - Marlborough Hospital. Marlborough charges all patients the published charge. When the patient has been determined for a discount, the discount is then applied to the total charge, and the amount owed by the guarantor is now reduced.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Clinton Hospital. Clinton hospital took into account input from the community health assessment, representatives of the community, including diverse members who were interviewed in the Community Health Assessment Focus groups for gathering qualitative data. The hospital reached out to individuals who held membership at the WHEAT Social Services food pantry, and with members of low educational attainment at The Clinton Adult Learning Center, those that live in low-income housing development, and are of Latino/multiracial ethnicity in efforts to ensure racial/ethnic, socioeconomic and geographic diversity were in the composition of the health needs assessment. The hospital specifically works on an ongoing basis with these organizations and the Community Health Network Area 9 (CHNA 9); a local coalition of public, non-profit, and private sectors working together to build healthier communities in the North Region of Massachusetts through community-based prevention planning and health promotion. Other partners included; The board of health, key stakeholders in health improvement: community area residents, coalitions, communities of faith, businesses, and providers of community-based health, education, human services, and local and state governments. Clinton Hospital utilized the information to collaborate with other local community based organizations to adopt implementation strategies that address the unmet health needs of Clinton Hospital's catchment area.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - Clinton Hospital. Clinton Hospital collaborated with two other hospitals in conducting the Community Health Assessment of North Central Massachusetts in a joint effort between the Massachusetts Department of Public Health's Community Health Network Area of North Central Massachusetts (CHNA 9) and the Joint Coalition on Health (JCOH) assessment. They include HealthAlliance, an affiliate of UMass Memorial Health Care and Heywood Hospital. Together, these entities have capitalized on their complementary expertise and have produced a document that can be used by stakeholders from every sector of the community to better the health and welfare of residents of North Central Massachusetts.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Clinton Hospital. Clinton Hospital conducted the CHNA with the following listed organizations: Partners included: The Community Health Network Area of North Central Mass. (CHNA 9) The Joint Coalition on Health of North Central Massachusetts. The Minority Coalition of North Central Massachusetts. The qualitative work was completed with the combined efforts of the Minority Coalition of North Central Massachusetts, the Spanish American Center, Cleghorn Neighborhood Center, Heywood Hospital, HealthAlliance Hospital, WHEAT, Three Pyramids, Beautiful Gate Church, New Hope Community Church, Twin Cities CDC, Gardner CDC, Memorial Congregational Church, Montachusett Opportunity Council and many other agencies and individuals.
Schedule H, Part V, Section B, Line 7 Facility , 1Facility , 1 - Clinton Hospital. Clinton Hospital also presents the Community health assessment to community groups, community advisory committee, and to the hospital's Board of Trustees.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Clinton Hospital. The hospital responds to priority health needs in many ways, and in times that are critical for North Central MA community, and patients in crisis. In addition to charity care, indigent care, several programs and services offered address the some of the priority needs identified in the CHNA. Our hospital does not have the available resources to develop initiatives to meet every priority health need identified, which makes collaboration with community assets critical.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - Clinton Hospital. Financial Assistance - Clinton Hospital employs a staff of Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors who are available by phone or by appointment to support patients in applying for financial assistance and resolving their medical bills. Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors provide potentially eligible patients with the appropriate methods of applying for health care coverage as listed on the Massachusetts ConnectorCare website.
Schedule H, Part V, Section B, Line 16 Facility , 2Facility , 2 - CLINTON HOSPITAL. Sch H, Part V, Section B, Lines 16 a-c Website for FAP, its application, and its plain language summary: https://www.umassmemorialhealthcare.org/clinton-hospital/patients-visitors/patient-resources/financial-counseling
Schedule H, Part V, Section B, Line 18d Facility , 1Facility , 1 - Clinton. Policy on Liens-No liens will be initiated against a patient's primary residence or motor vehicle without written approval from Clinton's Board of Trustees. All approvals by the Board of Trustees will be made on an individual case basis. We also send statements and make phone calls.
Schedule H, Part V, Section B, Line 19d Facility , 1Facility , 1 - Clinton Hospital. Clinton refers accounts to a credit agency when written off as bad debt for further collections. These agencies continue collections without impact to the credit rating.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - Clinton Hospital. Clinton Hospital utilized the look back method to determine the percentage of the amount generally billed to patients as it applies to this Financial Assistance Policy. A combination of the previous year charges and payments for commercial and Medicare insurance products are used to determine the Payment on Account Factor (PAF).
Schedule H, Part V, Section B, Line 24 Facility , 1Facility , 1 - Clinton Hospital. Clinton charges all patients the published charge. When the patient has been determined for a discount, the discount is then applied to the total charge, and the amount owed by the guarantor is now reduced.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
UMASS MEMORIAL MED CENTER (LAB SVCS)
BIOTECH ONE365 PLANTATION STREETWORCESTERMA01605SATELLITE - LAB SERVICES
UMASS MEMORIAL MED CENTER (PATHOLOGY)
BIOTECH THREEONE INNOVATION DRIVEWORCESTERMA01605SATELLITE - PATHOLOGY
UMASS MEMORIAL MED CENTER AMBULANCE
23 WELLS STREETWORCESTERMA01604SATELLITE - AMBULATORY SERVICES
UMASS MEMORIAL MED CENTER
100 PROVIDENCE STREETWORCESTERMA01604SATELLITE - AMBULATORY SERVICES

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I RESEARCH EXPENSESTHE AMOUNT OF RESEARCH EXPENSES FOR FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS BEING REPORTED BY UMASS MEMORIAL HEALTH CARE IS LOW SINCE THESE COSTS ARE SUPPORTED BY THE UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL. THE MEDICAL SCHOOL IS CLOSELY ASSOCIATED WITH UMASS MEMORIAL HEALTH CARE AND PROVIDES A SIGNIFICANT NUMBER OF COMMUNITY BASED PROGRAMS.
Schedule H, Part II, Line 2 COMMUNITY BUILDING ACTIVITIESPart II Community Building: Community Building - Describe how the organization's community building activities, as reported in Part II promote the health of the communities the organization serves: UMass Memorial provides workforce development and job skills training to underserved, inner-city youth through its Building Brighter Futures with Youth program (BBFWY). The program provides summer employment for youth ages 16 to 24. Founded in 2005 by the hospital through a collaborative effort with the City of Worcester, Worcester Community Action Council and other organizations, BBFWY matches placements to selected participants and offers them valuable on-the-job experience by hospital staff from departments throughout the Medical Center. The program helps to leverage additional state funding for the city. UMass Memorial employs 50 youth each summer as part of the city's summer job employment effort. Five inner city youth were placed in positions at the Grant Square community garden in the Bell Hill neighborhood through this program. In collaboration with the University of Massachusetts Medical School, Worcester Public Schools, Boys & Girls Club and the City of Worcester Youth Opportunities Office, UMass Memorial also holds a Health Career Expo for approximately 600 high school students included an introduction to over 30 health care careers and contact with local resources and nine colleges. The hospital also participates in neighborhood improvement activities in Bell Hill including the United Way Day of Caring. HealthAlliance: Part II, Community Building: 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: Part II Community Building Activities: 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: Part II Community Building: Clinton Hospital is working to address basic, social and personal needs as a way to improve their communities' health. Clinton Hospital provides high school students with the opportunity of a health career preparation program. The program exposes 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 and in its most recent community health needs assessment. Clinton Hospital partnered with the Clinton public high school and the Workforce Investment Board to implement the program.
Schedule H, Part VI, Line 7 SCH H, PART VI, LINE 7ALL FOUR HOSPITAL'S FILE INDIVIDUAL COMMUNITY BENEFIT REPORTS WITH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE.
Schedule H, Part I, Line 7g Subsidized Health ServicesNOT APPLICABLE
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation0
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe Cost to Charge Ratio is utilized to calculate amounts reported for each line in Part I, Line 7
Schedule H, Part II Community Building ActivitiesUMass Memorial Healthcare recognizes Community Building activities as being a part of the "social determinants of health" that impact the health of the community. We invest in youth workforce development for at-risk youth. Programs are based on our Community Benefits Mission which was recommended by a Community Benefits Advisory Committee and draws inspiration from the World Health Organization's broad definition of health, as a "as state of complete, physical, mental and social well being and not merely the absence of disease." By adopting this definition, UMass Memorial Healthcare 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.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBad Debt is calculated utilizing an aged Bad Debt Model. Significant Analysis was reviewed by Revenue Reporting and Patient Accounting that verified the majority of what the Model considers Bad Debt will more than likely be written off as Admin Allowances. Based on the Meditech/Soarian/Ambulance Variance Summary output per payer and review of the other analysis prepared, it was determined and approved that the Provision as a result of the Model should represent only the following reserves: 1) Self Pay 2) FreeCare 3) Guarantor As such, the remaining reserves calculated on all other payers are included in Payment Systems Contractual reserves and Admin Allowance reserves. Bad Debt Recoveries (payments on accounts written off as Bad Debt) are recorded on the Financial statements as a reduction to Bad Debt Expense. Bad Debt Expense of 26,537,000 is net of these recoveries.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyCosting methodology: multiplied the gross patient service revenue by the ratio of costs to charges calculated as reported in hospitals DHCFP 403 Hospital Statement of Costs, Revenues & Statistics. Although our financial assistance policies and procedures make every effort to identify those patients who are eligible for financial assistance before the billing process begins, often it is not possible to make an appropriate determination until after the billing and collection collection cycle has commenced. The rationale for including bad debt amounts in community benefits would be to account for those patients who were classified as bad debt expense, but would have qualified for financial assistance if sufficient information had been available to make a determination of their eligibility.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteFootnote 2, page 10 of Audited Financial Statements: Allowance for Doubtful Accounts Patient accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of patient accounts receivable, the System analyzes its past history and identifies trends for each of its major categories of revenue (inpatient, outpatient and professional) to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major categories of revenue in evaluating the sufficiency of the allowance for doubtful accounts. Throughout the year, the System, after all reasonable collection efforts have been exhausted, will write off the difference between the standard rates (or discounted rates if negotiated) and the amounts actually collected against the allowance for doubtful accounts. In addition to the review of the categories of revenue, management monitors the write offs against established allowances as of a point in time to determine the appropriateness of the underlying assumptions used in estimating the allowance for doubtful accounts. Patient accounts receivable is presented net of an allowance for doubtful accounts of $50,834,000 and $55,445,000 as of September 30, 2016 and 2015, respectively, in the consolidated balance sheets. Management attributes this change in the allowance for doubtful accounts due to a decrease in accounts receivable and improvement in the aging where more current accounts are reflected in the current year. Bad debt expense for nonpatient related accounts receivable is reflected in operating expense on the statements of operations. Patient related bad debt expense is reflected as a reduction in patient service revenue in the statements of operations
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE MEDICARE COSTS ARE OBTAINED FROM THE COST REPORT FOR INPATIENT PSYCHIATRIC CAPITAL AND OUTPATIENT SERVICES. IN ADDITION, FEE BASED SERVICES, SUCH AS LABS, PT, OT, ETC, ARE DETERMINED THROUGH PS&R CHARGES TIMES OUTPATIENT COST TO CHARGE RATIO.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceA. Exemption From Self-Pay Billing and Collection Action- UMMHC will not initiate Self-Pay billing and collection activity in the following instances: 1. Upon sufficient proof that a patient is a recipient of Emergency Aid to the Elderly, Disabled and Children (EAEDC), or enrolled in MassHealth, Health Safety Net, the Children's Medical Security Plan whose family income is equal or less than 300% of the FPL or Low Income Patient designation with the exception of Dental-Only Low Income patients as determined by the office of Medicaid with the exception of co-pays and deductibles required under the Program of Assistance. 2. The hospital has placed the account in legal or administrative hold status and/or specific payment arrangements have been made with the patient or guarantor. 3. Medical Hardship bills that exceed the medical hardship contribution. 4. Medical Hardship contributions that remains outstanding during a patient's MassHealth or Low Income Patient eligibility period. 5. Unless UMMHC has checked the EVS system to determine if the patient has filed an application for MassHealth. 6. For Partial Health Safety Net eligible patients, with the exception of any deductibles required. 7. UMMHC may bill for Health Safety Net eligible and Medical Hardship patients for non-medically necessary services provided at the request of the patient and for which the patient has agreed by written consent. 8. UMMHC may bill a Low Income Patient at their request in order to allow the patient to meet the required CommonHealth One-Time Deductible.
Schedule H, Part V, Section B, Line 16a FAP website- UMASS MEMORIAL MEDICAL CENTER, INC: Line 16a URL: See Sch H, Part V, Section B, Line 16i; - HEALTHALLIANCE HOSPITAL, INC: Line 16a URL: https://www.umassmemorialhealthcare.org/healthalliance-hospital; - MARLBOROUGH HOSPITAL: Line 16a URL: https://www.umassmemorialhealthcare.org/marlborough-hospital/financial-counseling; - CLINTON HOSPITAL ASSOCIATION: Line 16a URL: See Sch H, Part V, Section B, Line 16i;
Schedule H, Part V, Section B, Line 16b FAP Application website- UMASS MEMORIAL MEDICAL CENTER, INC: Line 16b URL: See Sch H, Part V, Section B, Line 16i; - HEALTHALLIANCE HOSPITAL, INC: Line 16b URL: https://www.umassmemorialhealthcare.org/healthalliance-hospital; - MARLBOROUGH HOSPITAL: Line 16b URL: https://www.umassmemorialhealthcare.org/marlborough-hospital/financial-counseling; - CLINTON HOSPITAL ASSOCIATION: Line 16b URL: See Sch H, Part V, Section B, Line 16i;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- UMASS MEMORIAL MEDICAL CENTER, INC: Line 16c URL: See Sch H, Part V, Section B, Line 16i; - HEALTHALLIANCE HOSPITAL, INC: Line 16c URL: https://www.umassmemorialhealthcare.org/healthalliance-hospital; - MARLBOROUGH HOSPITAL: Line 16c URL: https://www.umassmemorialhealthcare.org/marlborough-hospital/financial-counseling; - CLINTON HOSPITAL ASSOCIATION: Line 16c URL: See Sch H, Part V, Secton B, Line 16i;
Schedule H, Part VI, Line 2 Needs assessmentIn addition to conducting the Community Health Needs Assessment (CHNA), UMass Memorial Medical Center assesses the health care needs of the community it serves by working closely with the Worcester Division of Public Health on an on-going basis. Community Benefits staff hold leadership roles and/or participate in multiple coalitions and efforts focused on addressing priority areas identified in the CHNA and aligned with strategies of the Community Health Improvement Plan. In 2016, the Vice President of Community Relations co-led the establishment 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 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 Wellness Trust Fund Pediatric Asthma 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 * 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 Hospital: In addition to conducting the Community Health Needs Assessment (CHNA), UMass Memorial - HealthAlliance Hospital assesses the health care needs of the community it serves by working with the Community Health Network for North Central Mass (CHNA9). The Community Benefits Team at UMass Memorial - HealthAlliance Hospital hold leadership roles in and/or participate in several coalitions, committees and boards that focus on addressing the priority areas identified. The Manager of Marketing, Public Relations and Community Relations served as a team leader for the most recent Community Health Improvement Plan with the CHNA9. Members of the Community Benefits Team also work closely with the Leominster and Fitchburg Public Schools, Community Health Center, the Spanish American Center and United Neighbors of Fitchburg. The CHNA comprehensive process consisted of collecting quantitative and qualitative data through focus groups with community members and interviews with community members and community leaders. Participants were from community-based organizations, educational, civic, governmental, faith-based professionals, health care providers, and others. We make a strong effort to ensure racial/ethnic, socioeconomic and geographic diversity in the composition of all focus groups and interviews. The Community Health Needs Assessment was conducted with HealthAlliance Hospital and Heywood Healthcare (Heywood Hospital and Athol Hospital). Marlborough Hospital: In addition to conducting the Community Health Needs Assessment (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. 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 Clinton Hospital: In addition to conducting the Community Health Needs Assessment (CHNA), UMass Memorial - Clinton Hospital assesses the health care needs of the community it serves by working closely with the Community Health Network Area of North Central Massachusetts (CHNA-9) on an on-going basis to develop, implement and integrate community projects to effectively utilize community resources to create healthier communities. Community Benefits staff hold leadership roles and/or participate in multiple coalitions and efforts focused on addressing priority areas identified in the CHNA and that are aligned with strategies of the Community Health Improvement Plan (CHIP). In 2016, the Manager of Community Benefits co-led the Health Living priority area working group, one of the CHIP Priority Area Working Groups. The hospital also works closely with the Minority Coalition-Health Health Disparities Collaborative Committee which is a core group of hospitals and health centers from the North County region examining their data, identify opportunities to address health disparities and work on the social determinants of health. Clinton Hospital conducted the CHNA in collaboration with the Montachusett Public Health Network (MPHN), the Joint Coalition on Health of North Central Massachusetts (JCOH) and Community Health Network Area 9 (CHNA9) in 2014. The JCOH is a group of committed individuals and organizations working collaboratively as catalysts for change and as advocates for the underserved to improve the health and well-being of everyone in North Central Massachusetts. The Montachusett Public Health Network (MPHN) is a collaborate committee of all the board of health's covering the Montachusett region (Athol, Gardner, Fitchburg, Leominster, Westminster, Princeton, Sterling, Royalston, Phillipston, Templeton and Clinton) the stated goal of the MPHN is "raising the health status of the residents of our communities to the highest levels anywhere in the country". The Community Health Network of North Central Massachusetts (CHNA 9) is one of 17 CHNAs across Massachusetts, created by the Department of Public Health in 1992. CHNA-9 mission brings together and supports diverse voices to promote health equity in our communities. Clinton hospital took into account input from 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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceFinancial Counselors, also referred to as Certified Application Counselors (CAC's) are state certified and located on all campus locations. CAC's are available to assist underinsured and uninsured patients navigate the medical benefit application process. A patient is considered uninsured or "self-pay" if they do not have insurance coverage at the time of service or for some reason the service is not covered by their health insurance. A patient is considered underinsured if a patient has health insurance coverage but still has large balances that they are responsible to pay. The objective is to ultimately obtain some form of medical coverage or charity care to help the patient pay their hospital and doctor's bills. CAC's will take the steps necessary to help patients submit applications to obtain coverage, resolve eligibility issues, upgrade their coverage to coverage that provides more benefits, choose and enroll in a MassHealth or Connector Care Health insurance plan and change these plans when necessary.
Schedule H, Part VI, Line 4 Community informationGeographical Reach: The 2015 Community Health Assessment (CHNA) and subsequent Greater Worcester Community Health Improvement Plan (CHIP) focuses on the City of Worcester and the outlying communities of Shrewsbury, Millbury, West Boylston, Leicester, Grafton and Holden, a sub-section of its primary service area. This specific geographic area is the focus for the City of Worcester Division of Public Health regionalization initiative, and overlaps with the service area of many other local organizations. Focusing UMass Memorial's CHNA on this geographic area facilitates the alignment of the hospital's efforts with community and governmental partners, specifically the city health department, the area Federally Qualified Health Centers, and community-based organizations. This focus also facilitates collaboration with the CHIP Advisory Committee that implements key strategies of the CHIP so that future initiatives can be developed in a more coordinated approach. Regional Description: The City of Worcester is very ethnically-diverse, considerably more so than the nation and state overall. The number of Hispanics living in the city has grown by 35% over the past 10 years. Refugees from Iraq currently account for the greatest percentage of new immigrants (51%) followed by refugees from Bhutan, Burma, Liberia and other African nations. Health Resources and Services Administration (HRSA) has designated the City of Worcester a health professional shortage area (HPSA) in primary care, mental health and dental services due to its low income population. The City of Worcester has several neighborhoods with a shortage of health providers and HRSA has determined that many census tracts in the city are medically-underserved areas (MUAs). Economic Characteristics: The U.S. Census data for 2010 indicated that the median household income for Worcester County was $29,316. For the City of Worcester, the region's largest urban area, it was considerably lower at $23,135. According to the census data, of the city's total 181,045 residents, 19.4% 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 lunch. -------------------------------------------------- 1. U.S. Census 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 Hospital: 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 also illustrate that just over three-fourths 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. Clinton has a population of 13,606. The majority of 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 healthUMass Memorial has a designated Community Benefit department housed within Community Relations that is wholly dedicated to promoting the Community Benefit agenda with a special focus on Community Health Improvement. Our Community Benefits staff works very closely with multiple community organizations forging partnerships. The hospital has a strong and longstanding partnership with the Worcester Division of Public Health which has resulted in significant opportunities that have leveraged funding and implementation of preventive community-clinical linkages. In addition, we work closely with the two Federally Qualified Community Health Centers and leverage internal resources within the system to increase program capacity whenever possible. The Community Relations/Community Benefits department works closely with Pedi-Primary Care, Family and Community Medicine, Pedi-Pulmonology and Plumley Village Health Services. We also provide medical and dental services to the underserved at 11 neighborhood sites and 20 schools through the UMass Memorial Care Mobile. HealthAlliance Hospital: HealthAlliance Hospital has a Community Benefit program that is responsible for promoting the Community Benefit agenda focusing on Community Health Improvement. Our staff works very closely with multiple community organizations forging partnerships. In addition, we leverage internal resources within the system to increase program capacity whenever possible. We continue to support health education and screenings related to chronic diseases and prevalent health conditions in the community including mental/behavioral health, lung cancer/smoking cessation, chronic occlusive pulmonary disease (COPD), heart health, depression and nutrition/diabetes. The primary driving force behind the UMass Memorial - HealthAlliance Hospital Community Benefits Implementation Plan (through 2015) is the priority needs identified in the Community Health Assessment of North Central MA (CHA-NCMA) and the Montachusett Public Health Network (MPHN). One unique aspect of the current assessment is the level of attention paid to minority health issues. In addition, those responsible for gathering qualitative data made every effort to ensure racial/ethnic, socioeconomic, and geographic diversity in the composition of focus groups and with interview participants. The result is a much more comprehensive picture of the health status, issues, concerns, and assets of North Central Massachusetts. Another key feature of this community health assessment is the amount of collaboration that has gone into gathering and analyzing the data presented herein. Marlborough Hospital: Marlborough Hospital participates in area events and provides facilities for support groups. In addition, whenever possible we leverage internal resources to build capacity in our programming and we have staff that supports Community Benefits activities. Clinton Hospital: Clinton Hospital's Community Benefits 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." Target populations for Clinton Hospital's Community Benefits initiatives are identified through a community input and planning process, collaborative efforts, and a CHNA which is conducted every three years.
Schedule H, Part VI, Line 6 Affiliated health care systemOur clinical system is comprised of four hospitals which each site having a dedicated Community Benefits staff that works with their respective communities in conducting a CHNA, a CHIP and an Implementation Strategy. HealthAlliance Hospital During fiscal year 2016, 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 CHNA, a CHIP and an Implementation Strategy.
Schedule H, Part VI, Line 7 State filing of community benefit reportMA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC
650 LINCOLN STREETWORCESTERMA01605042513817501(C)(3)$1,000,000$0N/AN/ASUPPORT FOR HEALTH CENTER'S MISSION
FAMILY HEALTH CENTER OF WORCESTER INC
26 QUEEN STREETWORCESTERMA01610042485308501(C)(3)$1,000,000$0N/AN/ASUPPORT FOR HEALTH CENTER'S MISSION
UNIVERSITY OF MA MEDICAL SCHOOL
55 LAKE AVE NWORCESTERMA01655043167352GOVERNMENT$273,555$0N/AN/A$200,000 MUSCULOSKELETAL CENTER OF EXCELLENCE GRANT, $73,555 COMPLEX AORTIC ANEURYSM REPAIR STUDY
MASSACHUSETTS HEALTH COUNCIL
RIVERBEND OFFICE PARKNEEDHAMMA02494042296739501 (c)(3)$5,000$0N/AN/AANNUAL AWARD GALA SPONSORSHIP CENTERPIECE200 RESERVIOR STREET
THE SCHWARTZ CENTER FOR COMPASSIONATE HEALTHCARE
100 CAMBRIDGE STREETBOSTONMA02114041564655501(c)(3)$5,000$0N/AN/A20TH ANNUAL KENNETH B SCHWARTZ COMPASSIONATE HEALTHCARE DINNERSUITE 2100
PHYSICIANS HEALTH SERVICES
860 WINTER STREETWALTHAMMA02451223234975501(c)(3)$10,000$0N/AN/ASUPPORT OF PHYSICIAN HEALTH SERVICES
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCOMUNITY SUPPORTGrantTypeTxt
Recipient8RecipientCnt
Cash Grant$19,365CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part II, Line 1(h) SCHEDULE I, PART II, LINE 1HMEDICAL CENTER: THE STANDARD SET FORTH IS A REASONABLE EXPECTATION THAT THE GRANTS WILL CONTRIBUTE MEANINGFULLY TO EACH OF THE HEALTH CENTER'S ABILITY TO MAINTAIN OR INCREASE THE AVAILABILITY, OR ENHANCE THE QUALITY, OF SERVICES PROVIDED TO A MEDICALLY UNDERSERVED POPULATION SERVICED BY THE HEALTH CENTERS. EACH HEALTH CENTER HAS DOCUMENTED THE BASIS FOR SAID REASONABLE EXPECTATION. THESE GRANTS REPRESENT HIGHLY COLLABORATIVE PROJECTS AMONG THREE DEPARTMENTS (ORTHOPEDICS, MEDICINE (PHEUMATOLOGY), AND CELL BIOLOGY) THAT FOCUS ON THE ROLE OF MICRORNAS IN THE PATHOGENESIS OF RHEUMATOID ARTHRITIS AND OSTEOARTHRITIS, AND ADDRESS THE POTENTIAL ROLE OF MICRORNAS AS BIOMARKERS OF DISEASE. 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 ABDOMINAL OR THOROCOABDOMINAL ANEURYSMS OR ULCERS.
Schedule I, Part III Schedule I, Part III Type of grant or assistanceCentral New England HealthAlliance: Community Support is related to the Doyle Community fund that offers annual grant opportunities for non-profits in the community who seek to improve health and wellness and/or who impact our youth at risk and families in need.
Schedule I, Part 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. MEDICAL CENTER: 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. MEDICAL CENTER: GRANT FUNDED ON A PER YEAR BASIS FOR THE DURATION OF THE STUDY. WITH ANNUAL COST RECONCILIATIONS PERFORMED AND PROVIDED TO THE MEDICAL CENTER

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (67 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John Bronhard
Treasurer, HealthAlliance Hospitals, Inc.$255,323$0$46,254$0$502$0$7,641$0$6,997$0$316,717$0$0$0
Douglas S Brown
Secretary, UMM Health Care, Inc., Officer/Dir various$0$541,141$0$145,260$0$51,623$0$230,248$0$24,551$0$992,823$0$51,623
Sheila Daly
President until 1/16, Clinton Hospital Association, Director Community Hospitals Inc.$213,597$0$47,714$0$38,516$0$38,666$0$20,564$0$359,057$0$38,516$0
Eric W Dickson MD
President & CEO/Director, UMM Health Care, Inc., Officer/Dir various$0$929,390$0$446,327$0$59,404$0$345,769$0$53,241$0$1,834,131$0$57,487
David Fairchild MD
President/Director until 5/15, UMM Accountable Care Organization, Inc.$143,812$0$3,050$0$36,007$0$41,611$0$10,852$0$235,332$0$36,007$0
John Greenwood
President/Director, UMM Accountable Care Organization, Inc.$241,822$0$46,451$0$16,360$0$71,711$0$24,617$0$400,961$0$16,360$0
Cheryl M Lapriore
President/Director, UMM Health Ventures, Inc.$0$254,023$0$58,020$0$79,214$0$95,921$0$23,357$0$510,536$0$79,214
Sergio Melgar
Treasurer, UMM Health Care, Inc., Officer/Dir various$0$650,172$0$175,500$0$0$0$79,034$0$39,149$0$943,854$0$0
Patrick Muldoon
President, UMM Med Ctr, Inc.,$679,820$0$182,250$0$47,245$0$329,552$0$38,030$0$1,276,898$0$47,245$0
Steven Roach
President/Director, Marlborough Hospital$342,292$0$89,697$0$0$0$60,319$0$25,498$0$517,806$0$0$0
Dana E Swenson
President/Director, UMM Realty, Inc.$0$245,140$0$55,755$0$0$0$92,725$0$22,462$0$416,082$0$0
Stephen E Tosi MD
President, UMM Med Group, Inc., Director various$639,056$0$172,158$0$329,616$0$78,643$0$30,199$0$1,249,672$0$329,616$0
Deborah Weymouth
President/Director, HealthAlliance Hospitals, Inc.$387,501$0$86,063$0$0$0$66,454$0$15,645$0$555,662$0$0$0
Douglas Ziedonis MD
President/Director, UMBHS, Inc.$242,528$0$8,730$0$0$0$13,151$0$30,448$0$294,857$0$0$0
Howard Alfred MD
Director, UMM Accountable Care Organization, Inc.$239,396$0$5,970$0$0$0$4,992$0$20,677$0$271,036$0$0$0
Peter Bagley MD
Director, UMM Accountable Care Organization, Inc.$242,330$0$129,835$0$0$0$94,107$0$29,479$0$495,751$0$0$0
Alan P Brown MD
Director, UMM Behavioral Health System, Inc.$181,627$0$22,700$0$0$0$10,624$0$25,501$0$240,452$0$0$0
Andrew Cocchiarella MD
Director until 3/16, Marlborough Hospital$214,327$0$184,423$0$0$0$13,250$0$26,194$0$438,193$0$0$0
William Corbett MD
Director, Marlborough Hospital$382,276$0$101,283$0$32,471$0$182,485$0$22,465$0$720,980$0$32,471$0
Jordan Eisenstock MD
Director, UMM Accountable Care Organization, Inc.$147,431$0$37,507$0$6,038$0$9,271$0$1,948$0$202,194$0$6,038$0
Kimberly Eisenstock MD
Director, Marlborough Hospital$227,462$0$30,805$0$6,815$0$13,250$0$25,181$0$303,513$0$6,815$0
R Kevin Ferguson MD
Director, UMM Med Group, Inc.$242,994$0$1,818$0$6,941$0$12,568$0$25,448$0$289,769$0$6,941$0
Robert W Finberg MD
Director, UMM Health Care, Inc.$262,809$0$28,470$0$640,000$0$107,867$0$29,448$0$1,068,594$0$640,000$0
David Harlan MD
Director, UMM Accountable Care Organization, Inc.$150,770$0$10,000$0$0$0$8,414$0$26,115$0$195,300$0$0$0
Carlos Iitsuka
Director until 7/16, UMM Health Ventures, Inc.$0$298,073$0$83,850$0$0$0$37,197$0$29,470$0$448,589$0$0
Kathryn Kennedy MD
Director, UMM Med Group, Inc.$228,415$0$70,800$0$0$0$13,250$0$29,464$0$341,929$0$0$0
Daniel H Lasser MD
Director, UMM Med Group, Inc.$216,871$0$27,543$0$24,866$0$61,058$0$27,880$0$358,219$0$24,866$0
Shipen Li MD
Director, HealthAlliance Hospitals, Inc.$258,138$0$58,641$0$7,502$0$13,250$0$25,170$0$362,702$0$7,502$0
Jeffrey N Metzmaker MD
Director, UMM Med Group, Inc.$311,559$0$119,500$0$0$0$13,250$0$26,871$0$471,179$0$0$0
Dominic Nompleggi MD
Director, UMM Med Group, Inc.$227,976$0$156,377$0$0$0$13,250$0$29,479$0$427,081$0$0$0
O Nsidinanya Okike MD
Director, UMM Health Care, Inc.$126,955$0$0$0$206,903$0$1,587$0$2,328$0$337,773$0$19,000$0
Daniel O'Leary MD
Director, Coordinated Primary Care, Inc.$195,701$0$33,735$0$1,767$0$4,876$0$3,641$0$239,720$0$0$0
Chris Philbin
Director, Clinton Hospital Association$0$197,596$0$36,720$0$6,189$0$28,801$0$25,965$0$295,272$0$6,189
Catherine Rossi
Director, Clinton Hospital Association$0$179,541$0$33,048$0$12,218$0$54,986$0$24,690$0$304,483$0$12,218
Deborah Ekstrom
President unitl 1/16, Community HealthLink, Inc.$201,175$0$46,021$0$15,068$0$72,039$0$29,286$0$363,589$0$14,037$0
Katharine Bolland Eshghi
Assistant Secretary, UMM Health Care, Inc.$0$334,982$0$75,735$0$35,381$0$74,940$0$24,357$0$545,396$0$35,381
Nicole Gagne
President, Community HealthLink, Inc.$109,970$0$0$0$28,961$0$17,931$0$33,398$0$190,260$0$0$0
John Glassburn
Secretary, UMM Community Hospitals, Inc.$0$174,318$0$9,551$0$0$0$4,854$0$22,462$0$211,185$0$0
Steven McCue
Treasurer, Marlborough Hospital$181,035$0$22,495$0$0$0$13,744$0$22,489$0$239,763$0$0$0
William O'Brien
Secretary, UMBHS, Inc.$0$121,856$0$7,015$0$0$0$31,003$0$25,965$0$185,841$0$0
Jeffrey Olson
Treasurer, Clinton Hospital Assoc.$144,343$0$20,992$0$0$0$18,317$0$25,511$0$209,163$0$0$0
Jeanne Shirshac
Treasurer, UMM Accountable Care Organization, Inc.$0$199,214$0$36,755$0$6,977$0$26,980$0$24,545$0$294,471$0$6,977
Francis W Smith
Secretary, UMM Medical Group, Inc.$0$196,526$0$14,584$0$0$0$18,175$0$26,476$0$255,762$0$0
Michele Streeter
Treasurer, UMM Med Group, Inc.$405,034$0$109,058$0$29,533$0$175,084$0$25,072$0$743,782$0$29,533$0
James P Cyr
Sr. VP, Operations (UMMMC)$251,134$0$57,500$0$39,833$0$144,362$0$23,357$0$516,186$0$39,833$0
Therese Day
VP, Finance / CFO of Med Center$284,949$0$64,837$0$21,081$0$114,112$0$23,357$0$508,336$0$21,081$0
Robert Feldmann
VP, Corporate Controller$0$265,340$0$89,936$0$0$0$83,498$0$25,664$0$464,438$0$0
Barbara Fisher
Sr VP, Operations (UMMMC)$259,412$0$59,592$0$34,021$0$145,401$0$24,962$0$523,387$0$34,021$0
Patricia George
VP & Deputy CIO, until 11/15$0$301,124$0$60,469$0$25,000$0$35,957$0$15,390$0$437,939$0$25,000
Margaret Hudlin MD
CMO/VP Perioperative Svcs, until 9/1/16$352,077$0$80,325$0$114,257$0$35,700$0$25,964$0$608,323$0$114,257$0
Cathy Jewell
Sr VP, Chief Nursing Officer$271,469$0$16,200$0$64,923$0$110,865$0$26,723$0$490,179$0$0$0
Bart Metzger
Sr VP, Chief HR Officer$0$275,796$0$73,918$0$9,600$0$32,921$0$18,590$0$410,826$0$0
John T Randolph
VP, Chief Corporate Compliance$0$222,205$0$51,190$0$0$0$100,688$0$25,357$0$399,440$0$0
Alice Shakman
Sr. VP, Operations (UMMMC)$263,479$0$58,826$0$30,620$0$113,035$0$12,157$0$478,117$0$30,620$0
Jeffrey A Smith MD
Executive VP, COO$255,953$0$129,250$0$0$0$26,095$0$13,295$0$424,593$0$0$0
Timothy Tarnowski
Sr VP, Chief Info Officer$0$447,018$0$101,250$0$10,449$0$54,780$0$37,335$0$650,832$0$0
Diane Thompson
Sr. VP, Chief Nursing Officer until 4/9/15$99,292$0$45,487$0$404,752$0$17,153$0$7,803$0$574,487$0$385,039$0
David C Ayers MD
Physician, Chair of Orthopedics and Physical Rehab - Med Group$636,255$0$27,750$0$0$0$13,250$0$28,897$0$706,152$0$0$0
Adel Bozorgzadeh MD
Physician, Chief of Organ Transplantation - Med Group$478,476$0$259,361$0$0$0$13,250$0$29,479$0$780,565$0$0$0
Demetrius Litwin MD
Physician, Chair of Surgery Dept - Med Group$586,928$0$154,924$0$0$0$13,250$0$32,135$0$787,238$0$0$0
Ajit S Puri MD
Physician, Division Chief of Neuroimaging and Intervention - Med Group$472,848$0$198,733$0$19,000$0$13,250$0$25,006$0$728,836$0$19,000$0
Jennifer Walker MD
Physician, Division Chief of Cardiac Surgery - Med Group$510,639$0$125,000$0$0$0$13,250$0$28,128$0$677,018$0$0$0
Sharon Hylka
Former Sr. VP, Hospital Admin until 1/14$0$0$0$0$298,006$0$0$0$109$0$298,116$0$281,427$0
Robert A Phillips MD
Former Med Dir, Heart & Vascular COE, until 6/7/13$0$0$0$0$783,997$0$0$0$109$0$784,106$0$783,997$0
Arthur M Pappas MD
Former Director UMM Community Hospitals, Inc. until 3/27/13$12,981$0$0$0$800$0$2,019$0$109$0$15,910$0$800$0
Michael J Cofone
Former Officer/Director until 6/14, HealthAlliance Hospitals, Inc.$92,441$0$0$0$895$0$2,861$0$9,657$0$105,853$0$0$0
Candra D Szymanski
Former Interim President/Director until 12/13, Marlborough Hospital$0$0$0$0$35,868$0$1,348$0$260$0$37,476$0$35,868$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part IITHE ABOVE DIRECOTRS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR.
Schedule J, Part I, Line 4a Severance or change-of-control paymentThe following individuals received or had deferred severance in the reporting period: Included in Sch J Col Biii: George, Patricia $ 25,000 Hylka, Sharon $ 256,577 Szymanski, Candra D. $ 35,868 Thompson, Diane $ 245,761
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planThe following individuals participated in, or received payment from, a supplemental nonqualified retirement plan in the reporting period: Officers, Directors, Trustees Bolland Eshghi, Katharine $35,381 Brown, Douglas S. $51,623 Corbett, William, MD $32,471 Daly, Sheila $38,516 Dickson, Eric W., MD $57,487 Eisenstock, Jordan, MD $6,038 Eisenstock, Kimberly, MD $6,815 Ekstrom, Deborah $14,037 Fairchild, David, MD $36,007 Ferguson, R. Kevin, MD $6,941 Finberg, Robert W., MD $640,000 Greenwood, John $16,360 Iitsuka, Carlos $- Lapriore, Cheryl M. $79,214 Lasser, Daniel H., MD $24,866 Li, Shipen, MD $7,502 Melgar, Sergio $- Muldoon, Patrick $47,245 Okike, O. Nsidinanya, MD $19,000 Philbin, Chris $6,189 Roach, Steven $- Rossi, Catherine $12,218 Shirshac, Jeanne $6,977 Sioufi, Habib A., MD $6,766 Streeter, Michele $29,533 Swenson, Dana E. $- Tosi, Stephen E., MD $329,616 Weymouth, Deborah $- Subtotal Off, Dir, Trustees $1,510,802 Key Employees: Cyr, James P. $39,833 Day, Therese $21,081 Feldmann, Robert $- Fisher, Barbara $34,021 Hudlin, Margaret, MD $114,257 Jewell, Cathy $- Metzger, Bart $- Randolph, John T. $- Shakman, Alice $30,620 Smith, Jeffrey A., MD $- Tarnowski, Timothy $- Thompson, Diane $92,217 Subtotal Key Employees $332,029 Top 5 Highest Paid Puri, Ajit S, MD $19,000 Subtotal Top 5 highest paid $19,000 Former: Hylka, Sharon $24,850 Pappas, Arthur M., MD $800 Phillips, Robert A., MD $783,997 Subtotal Former $809,647 Total $2,671,478

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS SERIES E REISSUED
A0434318140000000002015-04-01$27,290,000PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES E BONDSfalsefalsefalse
MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS SERIES F REISSUED
B0434318140000000002015-05-21$27,290,000PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES F BONDSfalsefalsefalse
MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A
C0434318140000000002009-11-24$9,420,000PAY OFF HEFA POOL O LOAN, ER RENOVATIONS, EICU EQUIPMENT, CT SCAN LEASE, MAMMOGRAPHY UNITfalsefalsefalse
MHEFA-UMASS MEMORIAL SERIES G
D042456011SEEPARTVI2010-05-27$61,833,656REFUNDING OF CNEHA SERIES A BOND (1993) AND MEDICAL CENTER OF CENTRAL MA, SERIES B (1992)falsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$1,565,000$0$27,290,000$0$520,873$27,290,000$0$0$0$0$0$02015Yes (true)falseYes (true)Yes (true)
B$1,565,000$0$27,290,000$0$430,658$27,290,000$0$0$0$0$0$02015Yes (true)falseYes (true)Yes (true)
C$1,447,000$0$9,420,000$0$1,462,535$0$93,458$0$0$9,326,542$0$02009Yes (true)falseYes (true)Yes (true)
D$27,675,000$0$61,833,836$0$14,331,579$60,734,797$1,099,039$0$0$0$0$02010falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column (c) Series G CUSIP List57586EUS8, 57586EUT6, 57586EUU3, 57586EUV1, 57586EUW9, 57586EUX7, 57586EUY5, 57586EUZ2, 57586EVA6, 57586EVB4, 57586EVC2, 57586EVD0, 57586EVE8, 57586EVF5, 57586EVG3, 57586EVH1, 57586EVJ7
Schedule K, Part I, Column (c) Series H CUSIP List57583UGP7, 57583UGQ5, 57583UGR3, 57583UGS1, 57583UGT9, 57583UGU6, 57583UGV4, 57583UGW2, 57583UGX0, 57583UGY8, 57583UGZ5, 57583UHA9, 57583UHB7, 57583UHC5
Schedule K, Part I, Column (c) Series I CUSIP List57584XJK8, 57584XJL6, 57584XJM4, 57584XJN2, 57584XJP7, 57584XJQ5, 57584XJR3, 57584XJS1, 57584XJT9, 57584XJU6, 57584XJV4, 57584XJW2, 57584XJX0, 57584XJY8, 57584XJZ5, 57584XKA8, 57584XKB6, 57584XKC4
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS, SERIES E REISSUED n/a
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS, SERIES F REISSUED n/a
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A N/A
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MHEFA-UMASS MEMORIAL, SERIES G 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 IV, Line 2c COLUMN DIssuer name: MHEFA-UMASS MEMORIAL, SERIES G The calculation for computing no rebate due was performed on 10/14/2014
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA-UMASS MEMORIAL MASTER LEASE COLUMN E ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $5,301, EQUALS LINE 3 OF $20,005,301.
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA-UMASS MEMORIAL, SERIES H N/A
Schedule K, Part V Different Procedures to Undertake Corrective ActionIssuer name: MDFA-UMASS MEMORIAL MASTER LEASE 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 V Different Procedures to Undertake Corrective ActionIssuer name: 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 V Different Procedures to Undertake Corrective ActionIssuer name: MDFA - UMASS MEMORIAL, SERIES I COLUMN E ISSUE PRICE OF $194,086,349, ADD INTEREST EARNED ON PROCEEDS OF $353,669, EQUALS LINE 3 OF $194,440,018.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MDFA-UMASS MEMORIAL MASTER LEASE
A0434318140000000002010-12-09$20,000,000CAPITAL EQUIPMENTfalsefalsefalse
MDFA-UMASS MEMORIAL SERIES H
B043431814SEEPARTVI2011-08-10$92,293,778PART REFUND OF MED C VAR RATE SER A (98), REFUND IN FULL OF CNEHA SER B (98) &UMASS MEM SER C (01).falsefalsefalse
MDFA-UMASS MEMORIAL MASTER LEASE
C0434318140000000002011-12-28$20,000,000CAPITAL EQUIPMENTfalsefalsefalse
MDFA-UMASS MEMORIAL MASTER LEASE
D0434318140000000002013-08-14$20,000,000CAPITAL EQUIPMENTfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$19,127,057$0$20,005,301$0$1,005,761$0$33,031$0$5,301$19,966,969$0$02011falsefalseYes (true)Yes (true)
B$23,135,000$0$92,293,778$0$20,779,186$91,058,463$1,235,315$0$0$0$0$02011Yes (true)falseYes (true)Yes (true)
C$15,674,868$0$20,013,504$0$957,147$0$29,000$0$13,504$19,971,000$0$02013falsefalseYes (true)Yes (true)
D$10,105,456$0$20,000,723$0$535,906$0$36,810$0$723$19,963,190$0$02013falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
AfalsefalsefalsefalsefalseYes (true)
BfalsefalsefalsefalsefalseYes (true)falseYes (true)false
CfalsefalsefalsefalsefalseYes (true)
DfalsefalsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MDFA - UMASS MEMORIAL SERIES IBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043431814BondIssuerEIN
CUSIPSEEPARTVICUSIPNum
Bond Issued2016-02-02BondIssuedDt
Issue Price$194,086,349IssuePriceAmt
PurposeREFUNDING IN FULL UMASS MEM SER A REV BONDS (98) AND UMASS MEM SERIES D (05), VARIOUS CONST & EQUIP.PurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$194,440,018TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$3,451,523CapitalizedInterestAmt
Refunding Escrow$130,357,177RefundingEscrowAmt
Issuance Costs From Proceeds$2,529,172IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$15,495,277CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$45,863,432UnspentAmt
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadefalseFinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.0PrivateBusUseByOthersPct
Private Bus Concerning UBI0.0PrivateBusConcerningUBIPct
Total Private Business Use0.0TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
FLOYD CONNELLY
FORMER EXECUTIVE DIRECTOR OF CMMIC, INC.CSV OF LIFE INSURANCEYes (X)$455,570$335,392falseYes (true)Yes (true)
THOMAS CUMMINGS
FORMER CEO OF MARLBOROUGH HOSPITALCSV OF LIFE INSURANCEYes (X)$302,877$249,690falseYes (true)Yes (true)
WILLIAM J WILLIAMS
FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC.CSV OF LIFE INSURANCEYes (X)$1,981,627$4,353,944falseYes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$4,939,026TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (15 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Robert A Babineau Jr MD PC
Entity more than 35% owned by Robert A. Babineau Jr., M.D., Board Director (until 2/16)$52,3923rd Party Payer Contract Paymentfalse
80 Erdman Way LLC
Entity more than 35% owned by John R. Clementi, Board Director$100,949Rental of Property - Expensefalse
Princeton Biomedical Inc
Entity more than 35% owned by Eric W. Dickson, M.D., Officer / Board Director$569,610Physician Services provided by Princeton Biomedical, Inc., which is contracted through Wachusett Emergency Physicians, PCfalse
Marlboro Internal Medicine PC
Entity more than 35% owned by Lalita Matta, M.D., Board Director$40,3043rd Party Payer Contract Paymentfalse
Leominster Medical Associates LP
Entity more than 35% owned by Daniel J. O'Leary, M.D., Board Director$72,0733rd Party Payer Contract Paymentfalse
R Leslie Shelton MD PC
Entity more than 35% owned by Robert Leslie Shelton, M.D., Board Director$12,6703rd Party Payer Contract Paymentfalse
Ellen Carlucci
Family Member of Daniel Carlucci, M.D., Board Director$137,387Employment Arrangement w/ Marlborough Hospitalfalse
Joanne D'Onfro
Family Member of Paul D'Onfro, Board Director$68,047Employment Arrangement w/ HealthAlliance Hospitals, Inc.false
Jordan Eisenstock MD
Family Member of Kimberly Eisenstock, M.D., Board Director$102,992Employment Arrangement w/ UMM Medical Group, Inc.false
Kimberly Eisenstock MD
Family Member of Jordan Eisenstock, M.D., Board Director$306,487Employment Arrangement w/ UMM Medical Group, Inc.false
Elaine Granville RN
Family Member of Cheryl Lapriore, Officer / Board Director$153,333Employment Arrangement w/ UMM Medical Center, Inc.false
Eileen Henrickson RN
Family Member of Deborah Ekstrom, Officer (until 1/16)$181,768Employment Arrangement w/ UMM Medical Center, Inc.false
Kathleen Hylka
Family Member of Sharon Hylka, Former Key Employee (until 1/14)$171,638Employment Arrangement w/ UMM Medical Center, Inc.false
Kathryn C May
Family Member of Deborah Ekstrom, Officer (until 1/16)$66,868Employment Arrangement w/ UMM Medical Center, Inc.false
Joshua P Szymanski
Family Member of Candra Szymanski, Former Board Director (until 12/13)$43,724Employment Arrangement w/ Marlborough Hospitalfalse

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule L, Part IV Business Transactions Involving Interested PersonsSeveral of our community hospitals maintain local bank accounts in their respective communities. Each also has trustees from these banks on their boards. These banking relationships have been assessed, meet fair market value requirements, and are valued well below the disclosure thresholds.
Schedule L, Part II Loans from Interested PersonsAmounts due from former officers pertain to split dollar life insurance policies of the respective individuals. These policies were originated at various times during the insured's employment with UMass Memorial Health Care, Inc. The corresponding policy premiums were funded by the employer as an employee benefit. In accordance with IRS Notice 2002-8, Treasury Regulation 1.61-22 and Treasury Regulation 1.7872-15, these payments require classification as loans due from the insured. These loan balances are reflected at the lower of the discounted cash surrender value or discounted cumulative premiums paid.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services(Expenses $ 76,701,756 including grants of $ 19,365)(Revenue $ 92,837,675) 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 personsMARLBOROUGH HOSPITAL: CARLUCCI, DANIEL, BOARD MEMBER ELLEN CARLUCCI - Family relationship, MARLBOROUGH HOSPITAL: EISENSTOCK, KIMBERLY (BOARD MEMBER) AND EISENSTOCK, JORDAN (BOARD MEMBER) - Family relationship, ACO: EISENSTOCK, JORDAN (BOARD MEMBER) AND EISENSTOCK, KIMBERLY - Family relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersTHERE ARE NO CLASSES OF DIRECTORS. THE VOTING RIGHTS OF EACH MEMBER'S BOARD ARE ABSOLUTE.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE MAJORITY OF ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (UMMHC - Parent) THAT ELECTS THE BOARD OF TRUSTEES. THERE ARE NO CLASSES OF TRUSTEES. THE MAJORITY OF THE ENTITIES RESERVE TO THE MEMBER THE POWER TO REMOVE TRUSTEES, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE MAJORITY OF THE ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (UMMHC - Parent) WITH THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ENTITY, WHICH IS EXERCISED BY THAT MEMBER'S BOARD OF TRUSTEES. THERE ARE NO CLASSES OF TRUSTEES OR MEMBERS. THUS, THE VOTING RIGHTS OF A MEMBER BOARD ARE ABSOLUTE. GENERALLY, THE SOLE MEMBER OF EACH ENTITY RESERVES THE POWER TO APPROVE MAJOR TRANSACTIONS; TO MERGE, CONSOLIDATE OR LIQUIDATE THE CORPORATION'S ASSETS; TO ADOPT ANNUAL OPERATING AND CAPITAL BUDGETS AND AMENDMENTS; TO ENTER INTO LOAN AGREEMENTS AND/OR GUARANTEES; TO APPOINT AND/OR ELECT THE PRESIDENT AND/OR CEO; TO ELECT AND/OR APPOINT AND REMOVE TRUSTEES, FILL VACANCIES, TO INCREASE OR DECREASE THE SIZE OF THE BOARD; AND TO APPROVE UNBUDGETED EXPENDITURES.
Form 990, Part VI, Line 11b Review of form 990 by governing bodySECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD. THE COMPLIANCE COMMITTEE OF THE BOARD REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990, INCLUDING THE ABOVE SCHEDULES AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL. THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990
Form 990, Part VI, Line 12c Conflict of interest policyTHE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS AND MANAGEMENT TO COMPLETE ANNUAL DISCLOSURE STATEMENTS AND, TO UPDATE THESE DISCLOSURE STATEMENTS FOR SIGNIFICANT CHANGES IN THEIR OUTSIDE GOVERNANCE AND PROFESSIONAL ACTIVITIES OR, FINANCIAL RELATIONSHIPS AS APPROPRIATE. ADDITIONALLY, ALL TRANSACTIONS INVOLVING BOARD MEMBERS OR MANAGEMENT AND THE ORGANIZATION ARE REQUIRED TO BE APPROVED BY THE COMPLIANCE COMMITTEE OF THE BOARD. The following groups of individuals are covered by this policy: a. All Trustees/Directors: all UMM entities b. UMMHC/UMMMC/UMMMG: Dept Heads and above; selected others c. Physicians: all employed physicians, members of any board committee, members of Medical Staff Executive Committees; others as determined appropriate THERE IS ACTIVE MONITORING by the UMMHC Dept. of Compliance AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH DECISIONS. Any conflicts identified are reported to the appropriate officer and/or governing body. We have an appropriate management plan with any individuals with outside relationships that require mitigation. Where it is necessary, individuals may provide subject matter expertise however they have no influence or authorization of decisions for the organization.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialCOMPENSATION MATTERS FOR THE CEO AND SENIOR EXECUTIVES ARE GOVERNED AND OVERSEEN BY THE BOARD OF TRUSTEES OF THE ORGANIZATION. THE BOARD APPROVED A COMPENSATION PHILOSOPHY THAT GOVERNS ALL SUCH DECISIONS. THE PHILOSOPHY INCLUDES THE OBJECTIVES OF THE PROGRAM COMPONENTS OF EXECUTIVE COMPENSATION, THE RELEVANT MARKET POSITIONING IN THE MARKET FACTORS CONSIDERED IN SETTING EXECUTIVE COMPENSATION AND THE IMPORTANCE OF TYING SUCH COMPENSATION TO PERFORMANCE. INDEPENDENT OUTSIDE COMPENSATION CONSULTANTS PROVIDE ADVICE TO THE COMMITTEE AND THE BOARD REPORT DIRECTLY TO THE COMMITTEE AND NOT TO MANAGEMENT. 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.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesSee the explanation for Part VI, Line 15a.
Form 990, Part VI, Line 19 Required documents available to the publicUMASS MEMORIAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AS REQUIRED BY APPLICABLE STATE AND FEDERAL LAWS, AND BY REQUEST ON A CASE-BY-CASE BASIS.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueREBATE INCOME - Total Revenue: 16992, Related or Exempt Function Revenue: 15344, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1648; Workers compensation refund - Total Revenue: 17900, Related or Exempt Function Revenue: 17900, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part IX, Line 11g Other FeesRecruitment fees - Total Expense: 750929, Program Service Expense: 741340, Management and General Expenses: 9589, Fundraising Expenses: ; Clinical engineering services - Total Expense: 1258781, Program Service Expense: 1258781, Management and General Expenses: 0, Fundraising Expenses: ; Medical School participation payment & MES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 0, Fundraising Expenses: ; Professional Medical Services - Total Expense: 21927094, Program Service Expense: 21927094, Management and General Expenses: 0, Fundraising Expenses: ; Transcription Services - Total Expense: 4705829, Program Service Expense: 3887271, Management and General Expenses: 818558, Fundraising Expenses: ; Answering Services - Total Expense: 226164, Program Service Expense: 220560, Management and General Expenses: 5604, Fundraising Expenses: ; Collection Agency Services - Total Expense: 2609738, Program Service Expense: 1784422, Management and General Expenses: 825316, Fundraising Expenses: ; Outside Lab Services - Total Expense: 14910852, Program Service Expense: 14910852, Management and General Expenses: 0, Fundraising Expenses: ; Linen Services - Total Expense: 4531299, Program Service Expense: 4531299, Management and General Expenses: 0, Fundraising Expenses: ; Purchased Temporary Help - Total Expense: 13126781, Program Service Expense: 10814907, Management and General Expenses: 2311874, Fundraising Expenses: ; Medical School interns and residents services - Total Expense: 40727472, Program Service Expense: 40727472, Management and General Expenses: 0, Fundraising Expenses: ; Purchased Medical School services - Total Expense: 36873047, Program Service Expense: 36873047, Management and General Expenses: 0, Fundraising Expenses: ; Neonatology Services - Total Expense: 609978, Program Service Expense: 487982, Management and General Expenses: 121996, Fundraising Expenses: ; Housekeeping Services - Total Expense: 3841608, Program Service Expense: 3048650, Management and General Expenses: 792958, Fundraising Expenses: ; Valet Parking Services - Total Expense: 3397912, Program Service Expense: 2718330, Management and General Expenses: 679582, Fundraising Expenses: ; Coding,Billing, and Staffing Services - Total Expense: 11701656, Program Service Expense: 7948657, Management and General Expenses: 3752999, Fundraising Expenses: ; HR FMLA services - Total Expense: 518380, Program Service Expense: 414704, Management and General Expenses: 103676, Fundraising Expenses: ; Landscaping Services - Total Expense: 823760, Program Service Expense: 659005, Management and General Expenses: 164755, Fundraising Expenses: ; Other - Total Expense: 1033394, Program Service Expense: 0, Management and General Expenses: 928722, Fundraising Expenses: 104672;
Exclusion of UMMHC (Parent) from group exemption #3642UMMHC (Parent) was previously included in the group return #3642 EIN 91-2155626 however effective for the year ended 9/30/16 the Parent has been removed from the group return and is reported on a stand alone Form 990.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesNET ASSETS RELEASED FROM RESTRICTION (FOR PPE) - 758821; NET ASSETS RELEASED FROM RESTRICTIONS (FOR OPERATIONS) - 1969911; PENSION-RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST - -93808856; TRANSFERS (TO) FROM RELATED PARTIES - -62441635; CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST - -14115; BOOK INVESTMENT DIFFERENCE FROM S CORP K-1 AND OTHER JV K-1'S - 5114324; TEMPORARY RESTRICTED EXPENDITURES - -341180; PLEDGE RECEIVABLES, WRITE OFFS AND ADJUSTMENTS - 17624; MISC. - 685; ADJUSTMENT TO REMOVE PARENT FROM GROUP 990 - -XXX-XX-XXXX;
Form 990, Part XII, Line 2c Change of oversight process or selection processTHE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM ON A CONSOLIDATED BASIS. THE ORGANIZATION HAS AN AUDIT COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT ACCOUNTING FIRM.
Part VI, Line 8a and 8bThe organization documents the board and committee meetings by taking minutes, which include all meeting discussions and actions. These written minutes are then approved at the following board and committee meetings.
Page 1 Line Hc Members of Group exemption number 3642The Clinton Hospital Association 201 Highland Street, Clinton, MA 01510 EIN: 04-1185520 FYE: 9/30/2016 Marlborough Hospital 157 Union Street, Marlborough, MA 01752 EIN: 04-2104693 FYE: 9/30/2016 UMass Memorial Behavioral Health System, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3374724 FYE: 9/30/2016 UMass Memorial Community Hospitals, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3296271 FYE: 9/30/2016 UMass Memorial Health Ventures, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 22-2605679 FYE: 9/30/2016 UMass Memorial Medical Center, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3358564 FYE: 9/30/2016 UMass Memorial Medical Group, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-2911067 FYE: 9/30/2016 UMass Memorial Realty, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-2805630 FYE: 9/30/2016 Community HealthLink, Inc. 72 Jaques Avenue, Worcester, MA 01610 EIN: 04-2626179 FYE: 9/30/2016 Central New England HealthAlliance, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-3172496 FYE: 9/30/2016 Coordinated Primary Care, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-3210002 FYE: 9/30/2016 HealthAlliance Home Health and Hospice, Inc. 25 Tucker Road, Leominster, MA 01453 EIN: 04-2932308 FYE: 9/30/2016 HealthAlliance Hospitals, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-2103555 FYE: 9/30/2016 UMass Memorial Accountable Care Organization, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 46-2871359 FYE: 9/30/2016

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
UMASS MEMORIAL FOUNDATION INC
333 SOUTH STREETSHREWSBURYMA01545043108190FUNDRAISING SUPPORTMA501(c)(3Type IINAfalse
HEALTHALLIANCE REALTY CORPORATION
60 HOSPITAL ROADLEOMINSTERMA01473042560754REAL ESTATE MANAGEMENTMA501(c)(2NAfalse
UMass Memorial Health Care Inc (Parent)
306 Belmont StreetWorcesterMA01604043358566Management of Healthcare SystemMA501(c)(3Type III-FInafalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
UMASS MEMORIAL MRI OF MALRBOROUGH LLC
157 UNION STREETMARLBOROUGHMA01752202293995MAGNETIC RESONANCE IMAGINGMAMARLBOROUGH HOSPITALRelated$583,940$429,221falsefalse0.56
UMASS MEMORIAL HEALTHALLIANCE MRI CENTER LLC
60 HOSPITAL ROADLEOMINSTERMA01453043561571MAGNETIC RESONANCE IMAGINGMANARelated$1,064,962$1,331,750falsefalse0.6

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
MEMORIAL OFFICE CONDOMIUM TRUST
306 BELMONT STREETWORCESTERMA01604046616900CONDOMINIUM ASSOCIATIONMAUMASS MEMORIAL REALTY INCTrust$0$222,1320.5369false
BIO-LAB INC (disolved 123115)
215 WEST STREETMILFORDMA01757042708828CLINICAL LABORATORYMAUMASS MEMORIAL HEALTH VENTURES INCS Corporation$0$01.00
116 BELMONT ST INC CO APPLETON CORP
57 SUFFOLK STREETHOLYOKEMA01040042717865CONDOMINIUM ASSOCIATIONMAUMASS MEMORIAL REALTY INCC Corporation-$1,309$164,2670.6304false
Commonwealth Professional Assurance Company Ltd
980226143InsuranceNAC CorporationfalseP O Box 1051 GTGrand Cayman,CJKY11102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTHALLIANCE REALTY INC
J$402,912FAIR VALUE
HEALTHALLIANCE REALTY INC
P$106,480FAIR VALUE