2017-08-03T14:00:48-05:00 2016-09-30 350921680 CROWE HORWATH LLP 175 Powder Forest Drive Simsbury CT 060897902 990 2015-10-01 912155626 UMass Memorial Health Care Inc & Affiliates UMAS 5083340496 306 Belmont Street Worcester MA 01604 Sergio Melgar EVP/CFO/Treasurer 2017-08-03 true Rachel Spurlock P00520729 8606789200 2015 2021-01-29 14:40:06Z Sergio Melgar 306 Belmont Street Worcester MA 01604 2415912142 true true 3642 X www.umassmemorial.org X UMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. 166 89 14420 1307 3570189 579995 14499867 13874385 2510679190 2351102309 41297302 6124340 11103132 9584610 2577579491 2380685644 4483733 2312920 0 1277516317 1221720336 323352 64000 635354 1201618437 1117155900 2483941839 2341253156 93637652 39432488 2290835371 1818569543 1382662313 1256756697 908173058 561812846 X UMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. false false 1312284260 2293555 1578234928 UMASS MEMORIAL MEDICAL CENTER UMASS MEMORIAL MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. UMASS MEMORIAL MEDICAL CENTER DOES THIS BY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY. FY 2016 KEY STATISTICS - TOTAL DISCHARGES: 38,444 TOTAL SURGICAL CASES: 28,711 TOTAL ER VISITS: 136,097 459464553 0 392769783 UMASS MEMORIAL MEDICAL GROUP THE UMASS MEMORIAL MEDICAL GROUP IS A MULTISPECIALTY GROUP PRACTICE OF PHYSICIANS WHOSE MISSION AND PURPOSE IS TO SUPPORT THE CLINICAL, EDUCATIONAL, RESEARCH AND COMMUNITY SERVICE MISSIONS OF UMASS MEMORIAL HEALTH CARE AND UMASS MEMORIAL MEDICAL CENTER. UMASS MEMORIAL MEDICAL GROUP ACCOMPLISHES THIS MISSION BY PROVIDING MEDICAL CARE TO RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY. 218494804 0 285306676 UMASS MEMORIAL COMMUNITY HOSPITALS THE UMASS MEMORIAL COMMUNITY HOSPITALS (CLINTON HOSPITAL, HEALTH ALLIANCE HOSPITALS, INC., MARLBOROUGH HOSPITAL) ARE COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF THE COMMUNITIES THAT THEY SERVE THROUGH EXCELLENCE IN CLINICAL CARE AND SERVICE. EACH OF THESE HOSPITALS ACCOMPLISHES THIS GOAL BY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE RESIDENTS OF THEIR COMMUNITIES WITHOUT REGARD TO THEIR ABILITY TO PAY. FY 2016 KEY STATISTICS - TOTAL DISCHARGES: 11,372 TOTAL SURGICAL CASES: 7,578 TOTAL ER VISITS: 86,749 76701756 19365 92837675 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. 76701756 19365 92837675 2066945373 true true false true false false false false true true true true false true true true false true false false false false false true true false true true true true true true false false false false false true false true true true false false false false false true true false true false true 1620 0 true 14420 true true true false false false false false false false false false X 166 89 true false false false true true true true true false false true true true true true true true true true true MA X Robert Feldmann 5083340496 306 Belmont Street Worcester MA 01604 David L Bennett Chairperson, UMM Health Care, Inc. 1.0 1.0 X X 0 0 0 John Bronhard Treasurer, HealthAlliance Hospitals, Inc. 40.0 0 X X 302079 0 14638 Douglas S Brown Secretary, UMM Health Care, Inc., Officer/Dir various 5.0 40.0 X X 0 738024 254799 Fernando Catalina MD Chairperson, HealthAlliance Hospitals, Inc. 1.0 0 X X 0 0 0 Lisa Colombo President, Clinton Hospital Association, Director of Hospitals Inc. 40.0 0 X X 34042 0 2038 Sheila Daly President until 1/16, Clinton Hospital Association, Director Community Hospitals Inc. 40.0 0 X X 299827 0 59230 Eric W Dickson MD President & CEO/Director, UMM Health Care, Inc., Officer/Dir various 5.0 40.0 X X 0 1435121 399010 Paul D'Onfro Vice Chairperson, HealthAlliance Hospitals, Inc. 1.0 0 X X 0 0 0 David Fairchild MD President/Director until 5/15, UMM Accountable Care Organization, Inc. 40.0 0 X X 182869 0 52463 John Greenwood President/Director, UMM Accountable Care Organization, Inc. 40.0 0 X X 304633 0 96328 Cheryl M Lapriore President/Director, UMM Health Ventures, Inc. 5.0 40.0 X X 0 391257 119278 William McGrail Esquire Chairperson, Clinton Hospital Association 1.0 0 X X 0 0 0 Sergio Melgar Treasurer, UMM Health Care, Inc., Officer/Dir various 5.0 40.0 X X 0 825672 118182 Patrick Muldoon President, UMM Med Ctr, Inc., 40.0 0 X X 909316 0 367582 Michael D Murphy Vice Chairperson, Marlborough Hospital 1.0 0 X X 0 0 0 Steven Roach President/Director, Marlborough Hospital 40.0 0 X X 431989 0 85818 Richard Siegrist Vice Chairperson, UMM Health Care, Inc. 1.0 1.0 X X 0 0 0 Dana E Swenson President/Director, UMM Realty, Inc. 5.0 40.0 X X 0 300894 115187 Stephen E Tosi MD President, UMM Med Group, Inc., Director various 40.0 0 X X 1140830 0 108842 Deborah Weymouth President/Director, HealthAlliance Hospitals, Inc. 40.0 0 X X 473564 0 82099 Douglas Ziedonis MD President/Director, UMBHS, Inc. 20.0 0 X X 251258 0 43599 Howard Alfred MD Director, UMM Accountable Care Organization, Inc. 37.0 0 X 245366 0 25670 Gail Allen Director, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 Michael W Ames Director, Clinton Hospital Association 1.0 0 X 0 0 0 Robert Babineau Jr MD Director until 2/16, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 Peter Bagley MD Director, UMM Accountable Care Organization, Inc. 27.0 0 X 372165 0 123586 Richard K Bennett Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Norman Boudreau Director until 2/16, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 Leslie Bovenzi Director, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 Alan P Brown MD Director, UMM Behavioral Health System, Inc. 31.0 0 X 204327 0 36125 John H Budd Director until 3/16, UMM Health Ventures, Inc. 1.0 0 X 0 0 0 Daniel Carlucci MD Director, Marlborough Hospital 32.0 0 X 34736 0 2787 J Paul Cherubini Director until 4/16, Clinton Hospital Association 1.0 0 X 0 0 0 John Clementi Director, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 Andrew Cocchiarella MD Director until 3/16, Marlborough Hospital 40.0 0 X 398749 0 39444 Michael Collins MD Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Benjamin H Colonero Jr Director, Marlborough Hospital 1.0 0 X 0 0 0 Edward J Connor Director, Clinton Hospital Association 1.0 0 X 0 0 0 William Corbett MD Director, Marlborough Hospital 40.0 0 X 516030 0 204950 Lois D Cornell Director until 6/16, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Frederick G Crocker Director, UMM Health Ventures, Inc. 1.0 0 X 0 0 0 J Christopher Cutler FACHE Director, UMM Medical Group, Inc. 1.0 0 X 0 0 0 Edward D'Alelio Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Dix F Davis Director, UMM Realty, Inc. 1.0 0 X 0 0 0 Arthur P DiGeronimo Jr Director until 2/16, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 David Duncan Director until 8/3/15, Coordinated Primary Care, Inc. 40.0 0 X 108991 0 18481 Jordan Eisenstock MD Director, UMM Accountable Care Organization, Inc. 40.0 0 X 190976 0 11218 Kimberly Eisenstock MD Director, Marlborough Hospital 40.0 0 X 265082 0 38431 Robert Farragher Director, Clinton Hospital Association 1.0 0 X 0 0 0 Lynne Farrell Director, HealthAlliance Home Health and Hospice, Inc. 1.0 0 X 0 0 0 R Kevin Ferguson MD Director, UMM Med Group, Inc. 40.0 0 X 251753 0 38016 Robert W Finberg MD Director, UMM Health Care, Inc. 20.0 5.0 X 931279 0 137315 William Fischer Director, Marlborough Hospital 1.0 0 X 0 0 0 Roger Fitch Director until 5/16, UMM Behavioral Health System, Inc. 1.0 0 X 0 0 0 Terence Flotte MD Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Amy Grassette Director, UMM Behavioral Health System, Inc. 1.0 0 X 0 0 0 Elvira Guardiola Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Christie Hager Director, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 David Harlan MD Director, UMM Accountable Care Organization, Inc. 20.0 0 X 160770 0 34529 Clark Henebry Director until 4/16, Clinton Hospital Association 1.0 0 X 0 0 0 Francis Hurley Director, Marlborough Hospital 1.0 0 X 0 0 0 Carlos Iitsuka Director until 7/16, UMM Health Ventures, Inc. 5.0 40.0 X 0 381923 66666 Joanne Johnson Director, UMM Behavioral Health System, Inc. 1.0 0 X 0 0 0 Paul Kangas Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Kathryn Kennedy MD Director, UMM Med Group, Inc. 36.0 0 X 299215 0 42714 Peter Knox Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Barbara Kupfer Director, UMM Accountable Care Organization, Inc. 1.0 0 X 0 0 0 Daniel H Lasser MD Director, UMM Med Group, Inc. 20.0 0 X 269280 0 88938 John Latimer MD Director until 10/16, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 Shipen Li MD Director, HealthAlliance Hospitals, Inc. 40.0 0 X 324282 0 38420 Harris L MacNeill Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Michael Mahan Director, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 Edward Manzi Director, UMM Behavioral Health System, Inc. 1.0 0 X 0 0 0 Donata Martin Director, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 Luis J Maseda Director, Clinton Hospital Association 1.0 0 X 0 0 0 Lalita Matta MD Director, UMM Accountable Care Organization, Inc. 1.0 0 X 0 0 0 Jessica McGarry Director, UMM Behavioral Health System, Inc. 1.0 0 X 0 0 0 Antonia McGuire Director, UMM Accountable Care Organization, Inc. 1.0 0 X 0 0 0 Cynthia M McMullen EdD Director, UMM Behavioral Health System, Inc. 1.0 0 X 0 0 0 Mary Ellen McNamara Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Anthony J Mercadante Director, HealthAlliance Home Health and Hospice, Inc. 1.0 0 X 0 0 0 Nicholas Mercadante MD Director, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 Jeffrey N Metzmaker MD Director, UMM Med Group, Inc. 29.0 0 X 431059 0 40121 Ann K Molloy Director, Marlborough Hospital 1.0 0 X 0 0 0 Dominic Nompleggi MD Director, UMM Med Group, Inc. 29.0 0 X 384353 0 42729 Jim Notaro Director, UMM Behavioral Health System, Inc. 1.0 0 X 0 0 0 O Nsidinanya Okike MD Director, UMM Health Care, Inc. 40.0 5.0 X 333857 0 3916 Daniel O'Leary MD Director, Coordinated Primary Care, Inc. 25.0 0 X 231203 0 8517 Edward J Parry III Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Robert J Paulhus Jr Director, Clinton Hospital Association 1.0 0 X 0 0 0 Jeanne Paulino Director, Clinton Hospital Association 1.0 0 X 0 0 0 Raymond Pawlicki Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Chris Philbin Director, Clinton Hospital Association 5.0 40.0 X 0 240505 54767 Michael Pici MD Director, UMM Accountable Care Organization, Inc. 1.0 0 X 0 0 0 Philip E Purcell Director, Marlborough Hospital 1.0 0 X 0 0 0 Gerard P Richer Director, Marlborough Hospital 1.0 0 X 0 0 0 Michael Rivard Director, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 Catherine Rossi Director, Clinton Hospital Association 5.0 40.0 X 0 224807 79676 Carol Sanchez Director until 3/16, Marlborough Hospital 1.0 0 X 0 0 0 Paulette Seymour-Route PhD Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Vibha Sharma MD Director, Marlborough Hospital 1.0 0 X 0 0 0 John Shea Esquire Director, UMM Behavioral Health System, Inc. 1.0 0 X 0 0 0 Robert Leslie Shelton MD Director, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 Habib A Sioufi MD Director, Clinton Hospital Association 40.0 0 X 98182 0 28675 Markian Stecyk MD Director until 3/16, Marlborough Hospital 1.0 0 X 0 0 0 David Walton Director, Marlborough Hospital 1.0 0 X 0 0 0 Mary Whitney Director, HealthAlliance Hospitals, Inc. 1.0 0 X 0 0 0 Jack Wilson Director, UMM Health Care, Inc. 1.0 1.0 X 0 0 0 Lynda M Young MD Director, UMM Health Care, Inc. 1.0 1.0 X 38186 0 109 Maureen Croteau Assistant Clerk, Clinton Hospital Association 40.0 0 X 56311 0 23751 Ann-Maria D'Ambra Assistant Secretary, Marlborough Hospital 40.0 0 X 51669 0 24532 Deborah Ekstrom President unitl 1/16, Community HealthLink, Inc. 40.0 0 X 262264 0 101325 Katharine Bolland Eshghi Assistant Secretary, UMM Health Care, Inc. 5.0 40.0 X 0 446099 99297 Nicole Gagne President, Community HealthLink, Inc. 40.0 0 X 138931 0 51329 John Glassburn Secretary, UMM Community Hospitals, Inc. 5.0 40.0 X 0 183869 27316 Steven McCue Treasurer, Marlborough Hospital 40.0 0 X 203530 0 36233 Lynn A Morin Assistant Clerk, HealthAlliance Hospitals, Inc. 40.0 0 X 88305 0 7392 William O'Brien Secretary, UMBHS, Inc. 5.0 40.0 X 0 128872 56969 Jeffrey Olson Treasurer, Clinton Hospital Assoc. 40.0 0 X 165334 0 43829 Jeanne Shirshac Treasurer, UMM Accountable Care Organization, Inc. 5.0 40.0 X 0 242946 51524 Francis W Smith Secretary, UMM Medical Group, Inc. 5.0 40.0 X 0 211110 44651 Michele Streeter Treasurer, UMM Med Group, Inc. 40.0 0 X 543626 0 200156 James P Cyr Sr. VP, Operations (UMMMC) 40.0 5.0 X 348466 0 167720 Therese Day VP, Finance / CFO of Med Center 40.0 5.0 X 370867 0 137469 Robert Feldmann VP, Corporate Controller 5.0 40.0 X 0 355276 109162 Barbara Fisher Sr VP, Operations (UMMMC) 40.0 5.0 X 353025 0 170362 Patricia George VP & Deputy CIO, until 11/15 5.0 40.0 X 0 386592 51347 Margaret Hudlin MD CMO/VP Perioperative Svcs, until 9/1/16 40.0 5.0 X 546659 0 61664 Cathy Jewell Sr VP, Chief Nursing Officer 40.0 5.0 X 352592 0 137588 Bart Metzger Sr VP, Chief HR Officer 5.0 40.0 X 0 359315 51512 John T Randolph VP, Chief Corporate Compliance 5.0 40.0 X 0 273396 126045 Alice Shakman Sr. VP, Operations (UMMMC) 40.0 5.0 X 352925 0 125192 Jeffrey A Smith MD Executive VP, COO 40.0 5.0 X 385203 0 39390 Timothy Tarnowski Sr VP, Chief Info Officer 5.0 40.0 X 0 558717 92115 Diane Thompson Sr. VP, Chief Nursing Officer until 4/9/15 40.0 5.0 X 549531 0 24956 David C Ayers MD Physician, Chair of Orthopedics and Physical Rehab - Med Group 33.0 0 X 664005 0 42147 Adel Bozorgzadeh MD Physician, Chief of Organ Transplantation - Med Group 32.0 0 X 737836 0 42729 Demetrius Litwin MD Physician, Chair of Surgery Dept - Med Group 28.0 0 X 741852 0 45385 Ajit S Puri MD Physician, Division Chief of Neuroimaging and Intervention - Med Group 40.0 0 X 690581 0 38256 Jennifer Walker MD Physician, Division Chief of Cardiac Surgery - Med Group 30.0 0 X 635639 0 41378 Sharon Hylka Former Sr. VP, Hospital Admin until 1/14 0 0 X 298006 0 109 Robert A Phillips MD Former Med Dir, Heart & Vascular COE, until 6/7/13 0 0 X 783997 0 109 Arthur M Pappas MD Former Director UMM Community Hospitals, Inc. until 3/27/13 0 0 X 13781 0 2129 Michael J Cofone Former Officer/Director until 6/14, HealthAlliance Hospitals, Inc. 0 0 X 93335 0 12518 Candra D Szymanski Former Interim President/Director until 12/13, Marlborough Hospital 0 0 X 35868 0 1608 19884388 7684396 5414083 2658 true true true UMass Memorial Shields Pharmacy 25 Rockwood Road Marshfield MA 02050 Pharmacy Management Services 19418849 Xerox Business Services LLC PO Box 201322 Dallas TX 75320 I/S Management Services 17651003 Quest Diagnostics Inc PO Box 51048 Los Angeles CA 90074 Laboratory Services 10477702 Innerwireless Inc 1155 Kas Drive Richardson TX 75080 Consulting Services 9072656 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152515170 Dietary Management Services 6084221 201 X 364455 841042 10868394 1800494 5834 13874385 NET PATIENT SERVICE REVENUE 622110 2080346810 2080346810 Transitional payments 622110 25976496 25976496 SPECIAL MEDICAID PAYMENTS 622110 196003744 196003744 AFFILIATE RELATED PROGRAMS 622110 8305494 8305494 OTHER PSR & JV income 622110 40469765 38034601 2435164 0 0 0 0 2351102309 5662159 58510 8123 5595526 2745836 1454635 1291201 0 1291201 1291201 33099803 801134 32155965 1282791 943838 -481657 462181 8947 453234 336811 364455 333107 3704 3704 Lab services 621500 1126902 1126902 Cafeteria income 722514 6746695 6746695 Other income 900099 381216 381216 34892 33244 0 1648 8289705 2380685644 2349149062 3570189 14092008 X 2293555 2293555 19365 19365 20973671 14779530 6194141 830241 768436 61805 941290531 811822891 129146899 320741 66849598 57674874 9171986 2738 128886215 106582643 22288414 15158 62890080 53699708 9180206 10166 23977410 23977410 775714 309066 466648 144424 4628 139796 251639 251639 64000 64000 415857 15949 399908 315631600 305011299 10515629 104672 377360 139062 238268 30 20078277 14946610 5120362 11305 6310345 5165443 1144902 57922688 54868006 3054682 2049101 1944328 104124 649 1746271 1226920 518788 563 12283313 11859393 423920 109886318 105059205 4827113 30725415 29236039 1489376 Medical supplies 274420140 274412912 7228 System overhead activities 175508772 113441720 62067052 Purchased Services 46358519 43354428 2969384 34707 Other direct expenses 17097263 16972304 124559 400 21195474 17108010 4017239 70225 2341253156 2066945373 273672429 635354 119788165 191489188 65070897 63766485 562552 287699 250995615 233620773 4703689 4939026 0 0 33456546 708634 29117718 33651047 22899661 10196362 1701073995 1087059979 583528506 614014016 72182619 106919586 519994237 247650026 63800082 77551505 0 0 524735084 233775196 2290835371 1818569543 286431598 262689839 338032 1009563 6297369 8501757 327411105 375930725 0 14680 0 0 43756483 6003466 50000000 55000000 668427726 547606667 1382662313 1256756697 X 747417618 463903452 76999973 43180568 83755467 54728826 0 0 0 0 0 0 908173058 561812846 2290835371 1818569543 X 39432488 7229277 -393021977 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 251639 251639 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Amounts represent percentage of lobbying expenses included in membership dues. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Amounts represent percentage of lobbying expenses included in membership dues. true 14575 2998 2893 14680 true X 117475856 174883 5899351 44636958 78913132 115101660 5757118 -2182362 1200560 117475856 112462194 9419969 4425190 2355313 115101660 109418023 8142465 5098294 112462194 98294963 2557800 12021986 3456726 109418023 0.0 0.69 0.31 true true true 8807895 8807895 816592345 502096923 314495422 22955026 12110854 10844172 749226170 568859754 180366416 103492559 3992448 99500111 614014016 BENEFICIAL INTEREST IN TRUSTS 66380579 F COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD BIO VENTURES UNITS IN INVESTMENT PARTNERSHIP 181269447 F OTHER 247650026 DUE FROM RELATED PARTIES 2432911 CSV LIFE INSURANCE MALPRACTICE TAIL COVERAGE 33862724 LONG TERM SECURITY DEPOSITS 63722 OTHER NON-CURRENT ASSETS 471544 RECEIVABLE FROM MEDICAID 179005364 DUE FROM THIRD PARTIES 17877251 CASH SECURITY 14680 DEFERRED TAX ASSET 47000 233775196 DUE TO UMASS MEDICAL SCHOOL 139559305 THIRD PARTY LIABILITIES 68355031 DUE TO RELATED PARTIES 3409148 ACCRUED PENSION POST RETIREMENT BENEFITS 287876097 O/S LOSS RESERVES ESTIMATED MALPRACTICE COSTS 33862724 OTHER 1792489 ANNUITY PAYABLE LT LIABILITY ARO 9858847 ACCRUED LT LIABILITIES 842901 CLAIMS RESERVE 89125 MEDICARE RESERVES 30000 NOTE PAYABLE TO AFFILIATES (MC AND UMBHS) OTHER LOSS RESERVE 1931000 547606667 X Schedule D, Part V, Line 3a(i) Sch d, part v, line 3a(i) HEALTHALLIANCE HOSPITAL - YES BANK OF AMERICA MERRILL LYNCH HOLDS THE BERNARD W DOYLE TRUST FOR HEALTHALLIANCE HOSPITAL. DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE HOSPITAL . BANK OF AMERICA MERRILL LYNCH IS AN UNRELATED ORGANIZATION. BNY MELLON WEALTH MANAGEMENT HOLDS THE FOLLOWING TRUSTS FOR HEALTHALLIANCE HOSPITAL: TRUST U/WILL PART 11 WILLIAM H CROPPER TRUST U/WILL PART 15 WILLIAM H CROPPER TRUST U/WILL PART 18 WILLIAM H CROPPER TRUST UNDER 2ND CODICIL OF WILL OF WILLIAM H CROPPER TRUST UNDER 4TH CODICIL WILLIAM H CROPPER DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE HOSPITAL. BNY MELLON WEALTH MANAGEMENT IS AN UNRELATED ORGANIZATION. Schedule D, Part V Endowment Funds The 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 programs UMMHC (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 arrangement Tenant security deposits for UMass Memorial Realty, Inc. Schedule D, Part IV, Line 2b Explanation of escrow agreement Tenant 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 funds MEDICAL 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) footnote Income 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. X X X X X true JNB ASSOCIATES 21 WATER STREET AMESBURY MA 01913 FUNDRAISING false 64000 -64000 0 64000 -64000 MA NH CNEHA GOLF TOURNAMENT 275898 144331 131567 30154 78751 0 22662 CLINTON GOLF TOURNAMENT 121789 65407 56382 21805 24859 9718 5 303579 154717 148862 22164 53661 16995 52338 701266 364455 336811 52318 154217 41854 84718 333107 3704 Schedule G, Part II PART 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. true true X true X true X 600 true true true false true true 37936908 22992218 14944690 0.0080 381007912 338124618 42883294 0.0231 16411581 16319433 92148 0.0000 0 0 435356401 377436269 57920132 0.0312 4038253 2203184 1835069 0.0010 234163901 128897437 105266464 0.0566 89010247 71335252 17674995 0.0095 153202 49850 103352 0.0001 2238059 2238059 0 0.0 0 0 329603662 204723782 124879880 0.0672 0 0 764960063 582160051 182800012 0.0983 7799 0 7799 0.0000 0 0 0 0.0 8806 8806 0.0000 0 0 0 0.0 0 0 0 0.0 1190 0 1190 0.0000 0 0 0 0.0 146727 0 146727 0.0001 0 0.0 0 0 164522 0 164522 0.0001 true 26537000 1445372 393264874 407766841 -14501967 X true true 4 1 UMASS MEMORIAL MEDICAL CENTER INC 55 LAKE AVE 119 BELMONT STREET WORCESTER MA 01605 www.umassmemorialhealthcare.org 2124, 2841 X X X X X X 2 HEALTHALLIANCE HOSPITAL INC 60 HOSPITAL ROAD LEOMINSTER MA 01453 www.umassmemorialhealthcare.org/healthalliance-hospital 2127 X X X X 3 MARLBOROUGH HOSPITAL 157 UNION STREET MARLBOROUGH MA 01752 www.umassmemorialhealthcare.org/marlborough-hospital 2103 X X X X 4 CLINTON HOSPITAL ASSOCIATION 201 HIGHLAND STREET CLINTON MA 01510 www.umassmemorialhealthcare.org/clinton-hospital 2126 X X X X UMASS MEMORIAL MEDICAL CENTER INC 1 false false true X X X X X X X X X X 14 true false true true X http://www.umassmemorialhealthcare.org/sites/umass-memorial-hospital X http://www.worcesterma.gov/uploads/e3/8b/e38b32c7d4a96243c9c48bbd3250b00e/ch X X true 15 true https://www.umassmemorialhealthcare.org/sites/umass-memorial-hospital/files/Documents/CB% false false true X 200.0 600.0 X X true true X X X true X See Sch H, Part V, Section B, Line 16i X See Sch H, Part V, Section B, Line 16i X See Sch H, Part V, Section B, Line 16i X X X X X X true X false X X X X true X false false HEALTHALLIANCE HOSPITAL INC 2 false false true X X X X X X X X X X 15 true true true true X http://www.umassmemorialhealthcare.org/sites/umass-memorial-hospital/files/Documents/Members/5-21-15 X X true 16 true www.healthalliance.com false false true X 200.0 600.0 X X true true X X X X true X https://www.umassmemorialhealthcare.org/healthalliance-hospital X https://www.umassmemorialhealthcare.org/healthalliance-hospital X https://www.umassmemorialhealthcare.org/healthalliance-hospital X X X X true X false X X X X true X false false MARLBOROUGH HOSPITAL 3 false false true X X X X X X X X X 13 true true true true X http://www.umassmemorialhealthcare.org/marlborough-hospital X http://www.mwhealth.org/Portals/0/Uploads/Documents/MetroWestCommunityHealth Assessment2016.pdf X true 13 true http://www.umassmemorialhealthcare.org/about-us/community-benefits-program/marlborough-h false false true X 200.0 600.0 X X true true X X X true X https://www.umassmemorialhealthcare.org/marlborough-hospital/financial-counseling X https://www.umassmemorialhealthcare.org/marlborough-hospital/financial-counseling X https://www.umassmemorialhealthcare.org/marlborough-hospital/financial-counseling X X X X X X true X false X X X X true X false false CLINTON HOSPITAL ASSOCIATION 4 false false true X X X X X X X X X 14 true true true true X https://www.umassmemorialhealthcare.org/sites/umass-memorial-hospital/files/Documents/Members/Clinto X http://chna9.com/index.html X X true 15 true clintonhospital.org false false true X 200.0 600.0 X X true true X X X true X See Sch H, Part V, Section B, Line 16i X See Sch H, Part V, Section B, Line 16i X See Sch H, Part V, Secton B, Line 16i X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - UMass Memorial Medical Center. The most recent CHNA also includes an Impact Evaluation Summary (final Appendix) of previous CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - UMass Memorial Medical Center. Yes, input from diverse persons who represent the community was taken into account. UMass Memorial Medical Center joined efforts with the Worcester Division of Public Health (WDPH), Fallon Health and Common Pathways, a healthy communities coalition that is comprised of 30+ health and human service organizations, in the development of its Community Health Needs Assessment (CHNA). The director of the WDPH, UMass Memorial Vice President of Community Relations, and Fallon Health co-chaired the leadership process to develop a CHNA and Community Health Improvement Plan (CHIP) for the Greater Worcester region. During the assessment process, community members were engaged in key informant interviews, focus groups, and community dialogues 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 , 1 Facility , 1 - UMass Memorial Medical Center. UMass Memorial conducted the CHNA in collaboration with the Worcester Division of Public Health and Fallon Health. Additional partners included: 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 , 1 Facility , 1 - UMass Memorial Medical Center. The CHNA was publicly announced to the community at an event attended by more than 100 community stakeholders and hosted by the Worcester City Manager, Worcester Director of Public Health, Senior Vice President of UMass Memorial Health Care, President of the UMass Memorial Health Care Hospitals and the UMass Memorial Vice President of Community Relations. The hospital and WDPH also engaged in various media venues including; print and online articles in local news and community newspapers, CHNA-8, a Healthy Communities Coalition and interviews televised on WCCATV13. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - UMass Memorial Medical Center. The hospital conducted its most recent Community Health Needs Assessment in tax year 2014 and developed its implementation strategy. The Board of Trustees approved the Community Health Needs Assessment on the last day of the tax year 2014 and implementation strategies were developed and approved in tax year 2015. The prioritization process was lead by the Worcester Division of Public Health, Fallon Health and the hospital Vice President of Community Benefits and included input from approximately 100 community stakeholders. This process 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 , 1 Facility , 1 - UMass Memorial Medical Center. Financial Assistance - UMassMemorial Medical Center employs a staff of Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors who are available by phone or by appointment to support patients in applying for financial assistance and resolving their medical bills. Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors provide potentially eligible patients with the appropriate methods of applying for health care coverage as listed on the Massachusetts ConnectorCare website Schedule H, Part V, Section B, Line 16 Facility , 2 Facility , 2 - UMASS MEMORIAL MEDICAL CENTER. Sch H, Part V, Section B, Lines 16 a-c Website for FAP, its application, and its plain language summary: https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/patients-visitors/patient-resources/financial-assistance Schedule H, Part V, Section B, Line 18d Facility , 1 Facility , 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 , 1 Facility , 1 - UMass Memorial Medical Center. UMMMC refers accounts to a credit agency when written off as bad debt for further collections. These agencies continue collections without impact to the credit rating. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 1 - UMass Memorial - HealthAlliance Hospital. The Community Health Assessment process consisted of a comprehensive gathering of quantitative (i.e., health status indicators) and qualitative data, through focus groups with community members and through interviews with community members and community leaders. Participants were drawn from among community-based, educational, civic, governmental, and faith-based professionals, health care providers, and others, and every effort was made to ensure racial/ethnic, socioeconomic, and geographic diversity in the composition of focus groups and interview participants. HealthAlliance Hospital collaborated with the Joint Coalition on Health (JCOH) and Heywood Hospital to conduct a comprehensive Community Health Assessment that gathered, analyzed and documented qualitative and quantitative data. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - UMass Memorial - HealthAlliance Hospital. The Community Health Assessment process consisted of a comprehensive gathering of Quantitative (i.e., health status indicators) and qualitative data, through focus groups with community members and through interviews with community members and community leaders. 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 , 1 Facility , 1 - UMass Memorial - HealthAlliance Hospital. HealthAlliance Hospital conducted a Community Health Needs Assessment with Heywood Healthcare (Heywood Hospital and Athol Hospital) Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - UMass Memorial - HealthAlliance Hospital. . The Community Health Needs Assessment was conducted with input from our community partners: Community Health Connections, Heywood Healthcare, Athol Hospital, Heywood Hospital, The Joint Coalition on Health and the Montachusett Public Health Network Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - UMass Memorial - HealthAlliance Hospital. Community Health Assessment was made available through our website and presentations to various organizations and community forums throughout our service areas. The Community Health Assessment is also available upon request. You can find the link to our Community Health Needs Assessment here: 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 , 1 Facility , 1 - UMass Memorial - HealthAlliance Hospital. The hospital responds to priority health needs in many ways, and in times that are critical for patients in crisis. In addition to charity care, indigent care, a significant number of programs and services offered address some of the priority needs identified in the CHNA. Our hospital does not have the available resources to develop initiatives to meet all identified health needs, which makes collaboration with community resources critical. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - HealthAlliance Hospital. HealthAlliance Hospital Patients who are scheduled to be admitted and have been identified as non insured and/or in need of financial assistance will have an appointment scheduled prior to admission to meet with a Financial Counselor. Patients, who are admitted to the hospital through the Emergency Department, will be visited by the Financial Counselor once the patient is on the inpatient floor. The meeting will be held with the patient and/or family as the patient's medical condition permits. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 1 - Marlborough Hospital. The CHNA was completed in conjunction with the MetroWest Medical Center. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Marlborough Hospital. The CHNA was completed in conjunction with MetroWest Health Foundation, MetroWest Medical Center, Hudson Health Department, and Framingham Health Department. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Marlborough Hospital. The hospital responds to priority health needs in many ways, and in times that are critical for patients in crisis. In addition to charity care, indigent care, a significant number of programs and services offered address the priority needs identified in the Community Health Needs Assessment (CHNA). Our hospital does not have the available resources to develop initiatives to meet every priority health need identified, which makes collaboration with community agencies critical. The hospital is not currently addressing all chronic conditions due to limited resources. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Marlborough Hospital. Financial Assistance - Marlborough Hospital employs Financial Counselors who are available by phone or by appointment to support patients in applying for financial assistance and for help resolving their medical bills. Financial Counselors provide potentially eligible patients with the appropriate methods of applying for health care coverage as listed on the Massachusetts ConnectorCare website. Schedule H, Part V, Section B, Line 18d Facility , 1 Facility , 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 , 1 Facility , 1 - Marlborough Hospital. Marlborough engages a third party agency to assist on all self pay accounts at origination. They refer accounts to a credit agency when written off as bad debt for further collections. These agencies continue collections without impact to the credit rating. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 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 , 1 Facility , 1 - Clinton Hospital. Clinton Hospital collaborated with two other hospitals in conducting the Community Health Assessment of North Central Massachusetts in a joint effort between the Massachusetts Department of Public Health's Community Health Network Area of North Central Massachusetts (CHNA 9) and the Joint Coalition on Health (JCOH) assessment. They include HealthAlliance, 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 , 1 Facility , 1 - Clinton Hospital. Clinton Hospital conducted the CHNA with the following listed organizations: Partners included: The Community Health Network Area of North Central Mass. (CHNA 9) The Joint Coalition on Health of North Central Massachusetts. The Minority Coalition of North Central Massachusetts. The qualitative work was completed with the combined efforts of the Minority Coalition of North Central Massachusetts, the Spanish American Center, Cleghorn Neighborhood Center, Heywood Hospital, HealthAlliance Hospital, WHEAT, Three Pyramids, Beautiful Gate Church, New Hope Community Church, Twin Cities CDC, Gardner CDC, Memorial Congregational Church, Montachusett Opportunity Council and many other agencies and individuals. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Clinton Hospital. Clinton Hospital also presents the Community health assessment to community groups, community advisory committee, and to the hospital's Board of Trustees. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Clinton Hospital. 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 , 1 Facility , 1 - Clinton Hospital. Financial Assistance - Clinton Hospital employs a staff of Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors who are available by phone or by appointment to support patients in applying for financial assistance and resolving their medical bills. Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors provide potentially eligible patients with the appropriate methods of applying for health care coverage as listed on the Massachusetts ConnectorCare website. Schedule H, Part V, Section B, Line 16 Facility , 2 Facility , 2 - CLINTON HOSPITAL. Sch H, Part V, Section B, Lines 16 a-c Website for FAP, its application, and its plain language summary: https://www.umassmemorialhealthcare.org/clinton-hospital/patients-visitors/patient-resources/financial-counseling Schedule H, Part V, Section B, Line 18d Facility , 1 Facility , 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 , 1 Facility , 1 - Clinton Hospital. Clinton refers accounts to a credit agency when written off as bad debt for further collections. These agencies continue collections without impact to the credit rating. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 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 , 1 Facility , 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. 4 UMASS MEMORIAL MED CENTER (LAB SVCS) BIOTECH ONE 365 PLANTATION STREET WORCESTER MA 01605 SATELLITE - LAB SERVICES UMASS MEMORIAL MED CENTER (PATHOLOGY) BIOTECH THREE ONE INNOVATION DRIVE WORCESTER MA 01605 SATELLITE - PATHOLOGY UMASS MEMORIAL MED CENTER AMBULANCE 23 WELLS STREET WORCESTER MA 01604 SATELLITE - AMBULATORY SERVICES UMASS MEMORIAL MED CENTER 100 PROVIDENCE STREET WORCESTER MA 01604 SATELLITE - AMBULATORY SERVICES Schedule H, Part I RESEARCH EXPENSES THE AMOUNT OF RESEARCH EXPENSES FOR FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS BEING REPORTED BY UMASS MEMORIAL HEALTH CARE IS LOW SINCE THESE COSTS ARE SUPPORTED BY THE UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL. THE MEDICAL SCHOOL IS CLOSELY ASSOCIATED WITH UMASS MEMORIAL HEALTH CARE AND PROVIDES A SIGNIFICANT NUMBER OF COMMUNITY BASED PROGRAMS. Schedule H, Part II, Line 2 COMMUNITY BUILDING ACTIVITIES Part II Community Building: Community Building - Describe how the organization's community building activities, as reported in Part II promote the health of the communities the organization serves: 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 7 ALL FOUR HOSPITAL'S FILE INDIVIDUAL COMMUNITY BENEFIT REPORTS WITH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE. Schedule H, Part I, Line 7g Subsidized Health Services NOT APPLICABLE Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 0 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The Cost to Charge Ratio is utilized to calculate amounts reported for each line in Part I, Line 7 Schedule H, Part II Community Building Activities UMass Memorial Healthcare recognizes Community Building activities as being a part of the "social determinants of health" that impact the health of the community. We invest in youth workforce development for at-risk youth. Programs are based on our Community Benefits Mission which was recommended by a Community Benefits Advisory Committee and draws inspiration from the World Health Organization's broad definition of health, as a "as state of complete, physical, mental and social well being and not merely the absence of disease." By adopting this definition, UMass Memorial 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 amount Bad Debt is calculated utilizing an aged Bad Debt Model. Significant Analysis was reviewed by Revenue Reporting and Patient Accounting that verified the majority of what the Model considers Bad Debt will more than likely be written off as Admin Allowances. Based on the Meditech/Soarian/Ambulance Variance Summary output per payer and review of the other analysis prepared, it was determined and approved that the Provision as a result of the Model should represent only the following reserves: 1) Self Pay 2) FreeCare 3) Guarantor As such, the remaining reserves calculated on all other payers are included in Payment Systems Contractual reserves and Admin Allowance reserves. Bad Debt Recoveries (payments on accounts written off as Bad Debt) are recorded on the Financial statements as a reduction to Bad Debt Expense. Bad Debt Expense of 26,537,000 is net of these recoveries. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Costing methodology: multiplied the gross patient service revenue by the ratio of costs to charges calculated as reported in hospitals DHCFP 403 Hospital Statement of Costs, Revenues & Statistics. Although our financial assistance policies and procedures make every effort to identify those patients who are eligible for financial assistance before the billing process begins, often it is not possible to make an appropriate determination until after the billing and collection collection cycle has commenced. The rationale for including bad debt amounts in community benefits would be to account for those patients who were classified as bad debt expense, but would have qualified for financial assistance if sufficient information had been available to make a determination of their eligibility. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Footnote 2, page 10 of Audited Financial Statements: Allowance for Doubtful Accounts Patient accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of patient accounts receivable, the System analyzes its past history and identifies trends for each of its major categories of revenue (inpatient, outpatient and professional) to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major categories of revenue in evaluating the sufficiency of the allowance for doubtful accounts. Throughout the year, the System, after all reasonable collection efforts have been exhausted, will write off the difference between the standard rates (or discounted rates if negotiated) and the amounts actually collected against the allowance for doubtful accounts. In addition to the review of the categories of revenue, management monitors the write offs against established allowances as of a point in time to determine the appropriateness of the underlying assumptions used in estimating the allowance for doubtful accounts. Patient accounts receivable is presented net of an allowance for doubtful accounts of $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 costs THE MEDICARE COSTS ARE OBTAINED FROM THE COST REPORT FOR INPATIENT PSYCHIATRIC CAPITAL AND OUTPATIENT SERVICES. IN ADDITION, FEE BASED SERVICES, SUCH AS LABS, PT, OT, ETC, ARE DETERMINED THROUGH PS&R CHARGES TIMES OUTPATIENT COST TO CHARGE RATIO. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance A. Exemption From Self-Pay Billing and Collection Action- UMMHC will not initiate Self-Pay billing and collection activity in the following instances: 1. Upon sufficient proof that a patient is a recipient of Emergency Aid to the Elderly, Disabled and Children (EAEDC), or enrolled in MassHealth, Health Safety Net, the Children's Medical Security Plan whose family income is equal or less than 300% of the FPL or Low Income Patient designation with the exception of Dental-Only Low Income patients as determined by the office of Medicaid with the exception of co-pays and deductibles required under the Program of Assistance. 2. The hospital has placed the account in legal or administrative hold status and/or specific payment arrangements have been made with the patient or guarantor. 3. Medical Hardship bills that exceed the medical hardship contribution. 4. Medical Hardship contributions that remains outstanding during a patient's MassHealth or Low Income Patient eligibility period. 5. Unless UMMHC has checked the EVS system to determine if the patient has filed an application for MassHealth. 6. For Partial Health Safety Net eligible patients, with the exception of any deductibles required. 7. UMMHC may bill for Health Safety Net eligible and Medical Hardship patients for non-medically necessary services provided at the request of the patient and for which the patient has agreed by written consent. 8. UMMHC may bill a Low Income Patient at their request in order to allow the patient to meet the required CommonHealth One-Time Deductible. Schedule H, Part V, Section B, Line 16a FAP website - UMASS MEMORIAL MEDICAL CENTER, INC: Line 16a URL: 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 assessment In addition to conducting the Community Health Needs Assessment (CHNA), UMass Memorial Medical Center assesses the health care needs of the community it serves by working closely with the Worcester Division of Public Health on an on-going basis. Community Benefits staff hold leadership roles and/or participate in multiple coalitions and efforts focused on addressing priority areas identified in the CHNA and aligned with strategies of the Community Health Improvement Plan. In 2016, 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 assistance Financial Counselors, also referred to as Certified Application Counselors (CAC's) are state certified and located on all campus locations. CAC's are available to assist underinsured and uninsured patients navigate the medical benefit application process. 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 information Geographical Reach: The 2015 Community Health Assessment (CHNA) and subsequent Greater Worcester Community Health Improvement Plan (CHIP) focuses on the City of Worcester and the outlying communities of Shrewsbury, Millbury, West Boylston, Leicester, Grafton and Holden, a sub-section of its primary service area. This specific geographic area is the focus for the City of Worcester Division of Public Health regionalization initiative, and overlaps with the service area of many other local organizations. Focusing UMass Memorial's CHNA on this geographic area facilitates the alignment of the hospital's efforts with community and governmental partners, specifically the city health department, the area Federally Qualified Health Centers, and community-based organizations. This focus also facilitates collaboration with the CHIP Advisory Committee that implements key strategies of the CHIP so that future initiatives can be developed in a more coordinated approach. Regional Description: The City of Worcester is very ethnically-diverse, considerably more so than the nation and state overall. The number of Hispanics living in the city has grown by 35% over the past 10 years. Refugees from Iraq currently account for the greatest percentage of new immigrants (51%) followed by refugees from Bhutan, Burma, Liberia and other African nations. Health Resources and Services Administration (HRSA) has designated the City of Worcester a health professional shortage area (HPSA) in primary care, mental health and dental services due to its low income population. The City of Worcester has several neighborhoods with a shortage of health providers and HRSA has determined that many census tracts in the city are medically-underserved areas (MUAs). Economic Characteristics: The U.S. Census 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 health UMass 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 system Our clinical system is comprised of four hospitals which each site having a dedicated Community Benefits staff that works with their respective communities in conducting a CHNA, a CHIP and an Implementation Strategy. HealthAlliance 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 report MA true EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC 650 LINCOLN STREET WORCESTER MA 01605 042513817 501(C)(3) 1000000 0 N/A N/A SUPPORT FOR HEALTH CENTER'S MISSION FAMILY HEALTH CENTER OF WORCESTER INC 26 QUEEN STREET WORCESTER MA 01610 042485308 501(C)(3) 1000000 0 N/A N/A SUPPORT FOR HEALTH CENTER'S MISSION UNIVERSITY OF MA MEDICAL SCHOOL 55 LAKE AVE N WORCESTER MA 01655 043167352 GOVERNMENT 273555 0 N/A N/A $200,000 MUSCULOSKELETAL CENTER OF EXCELLENCE GRANT, $73,555 COMPLEX AORTIC ANEURYSM REPAIR STUDY MASSACHUSETTS HEALTH COUNCIL RIVERBEND OFFICE PARK 200 RESERVIOR STREET NEEDHAM MA 02494 042296739 501 (c)(3) 5000 0 N/A N/A ANNUAL AWARD GALA SPONSORSHIP CENTERPIECE THE SCHWARTZ CENTER FOR COMPASSIONATE HEALTHCARE 100 CAMBRIDGE STREET SUITE 2100 BOSTON MA 02114 041564655 501(c)(3) 5000 0 N/A N/A 20TH ANNUAL KENNETH B SCHWARTZ COMPASSIONATE HEALTHCARE DINNER PHYSICIANS HEALTH SERVICES 860 WINTER STREET WALTHAM MA 02451 223234975 501(c)(3) 10000 0 N/A N/A SUPPORT OF PHYSICIAN HEALTH SERVICES 6 0 COMUNITY SUPPORT 8 19365 0 N/A N/A Schedule I, Part II, Line 1(h) SCHEDULE I, PART II, LINE 1H MEDICAL CENTER: THE STANDARD SET FORTH IS A REASONABLE EXPECTATION THAT THE GRANTS WILL CONTRIBUTE MEANINGFULLY TO EACH OF THE HEALTH CENTER'S ABILITY TO MAINTAIN OR INCREASE THE AVAILABILITY, OR ENHANCE THE QUALITY, OF SERVICES PROVIDED TO A MEDICALLY UNDERSERVED POPULATION SERVICED BY THE HEALTH CENTERS. EACH HEALTH CENTER HAS DOCUMENTED THE BASIS FOR SAID REASONABLE EXPECTATION. 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 assistance Central New England HealthAlliance: Community Support is related to the Doyle Community fund that offers annual grant opportunities for non-profits in the community who seek to improve health and wellness and/or who impact our youth at risk and families in need. Schedule I, Part 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 X X X X X X true true false false false false false false false John Bronhard Treasurer, HealthAlliance Hospitals, Inc. 255323 0 46254 0 502 0 7641 0 6997 0 316717 0 0 0 Douglas S Brown Secretary, UMM Health Care, Inc., Officer/Dir various 0 541141 0 145260 0 51623 0 230248 0 24551 0 992823 0 51623 Sheila Daly President until 1/16, Clinton Hospital Association, Director Community Hospitals Inc. 213597 0 47714 0 38516 0 38666 0 20564 0 359057 0 38516 0 Eric W Dickson MD President & CEO/Director, UMM Health Care, Inc., Officer/Dir various 0 929390 0 446327 0 59404 0 345769 0 53241 0 1834131 0 57487 David Fairchild MD President/Director until 5/15, UMM Accountable Care Organization, Inc. 143812 0 3050 0 36007 0 41611 0 10852 0 235332 0 36007 0 John Greenwood President/Director, UMM Accountable Care Organization, Inc. 241822 0 46451 0 16360 0 71711 0 24617 0 400961 0 16360 0 Cheryl M Lapriore President/Director, UMM Health Ventures, Inc. 0 254023 0 58020 0 79214 0 95921 0 23357 0 510536 0 79214 Sergio Melgar Treasurer, UMM Health Care, Inc., Officer/Dir various 0 650172 0 175500 0 0 0 79034 0 39149 0 943854 0 0 Patrick Muldoon President, UMM Med Ctr, Inc., 679820 0 182250 0 47245 0 329552 0 38030 0 1276898 0 47245 0 Steven Roach President/Director, Marlborough Hospital 342292 0 89697 0 0 0 60319 0 25498 0 517806 0 0 0 Dana E Swenson President/Director, UMM Realty, Inc. 0 245140 0 55755 0 0 0 92725 0 22462 0 416082 0 0 Stephen E Tosi MD President, UMM Med Group, Inc., Director various 639056 0 172158 0 329616 0 78643 0 30199 0 1249672 0 329616 0 Deborah Weymouth President/Director, HealthAlliance Hospitals, Inc. 387501 0 86063 0 0 0 66454 0 15645 0 555662 0 0 0 Douglas Ziedonis MD President/Director, UMBHS, Inc. 242528 0 8730 0 0 0 13151 0 30448 0 294857 0 0 0 Howard Alfred MD Director, UMM Accountable Care Organization, Inc. 239396 0 5970 0 0 0 4992 0 20677 0 271036 0 0 0 Peter Bagley MD Director, UMM Accountable Care Organization, Inc. 242330 0 129835 0 0 0 94107 0 29479 0 495751 0 0 0 Alan P Brown MD Director, UMM Behavioral Health System, Inc. 181627 0 22700 0 0 0 10624 0 25501 0 240452 0 0 0 Andrew Cocchiarella MD Director until 3/16, Marlborough Hospital 214327 0 184423 0 0 0 13250 0 26194 0 438193 0 0 0 William Corbett MD Director, Marlborough Hospital 382276 0 101283 0 32471 0 182485 0 22465 0 720980 0 32471 0 Jordan Eisenstock MD Director, UMM Accountable Care Organization, Inc. 147431 0 37507 0 6038 0 9271 0 1948 0 202194 0 6038 0 Kimberly Eisenstock MD Director, Marlborough Hospital 227462 0 30805 0 6815 0 13250 0 25181 0 303513 0 6815 0 R Kevin Ferguson MD Director, UMM Med Group, Inc. 242994 0 1818 0 6941 0 12568 0 25448 0 289769 0 6941 0 Robert W Finberg MD Director, UMM Health Care, Inc. 262809 0 28470 0 640000 0 107867 0 29448 0 1068594 0 640000 0 David Harlan MD Director, UMM Accountable Care Organization, Inc. 150770 0 10000 0 0 0 8414 0 26115 0 195300 0 0 0 Carlos Iitsuka Director until 7/16, UMM Health Ventures, Inc. 0 298073 0 83850 0 0 0 37197 0 29470 0 448589 0 0 Kathryn Kennedy MD Director, UMM Med Group, Inc. 228415 0 70800 0 0 0 13250 0 29464 0 341929 0 0 0 Daniel H Lasser MD Director, UMM Med Group, Inc. 216871 0 27543 0 24866 0 61058 0 27880 0 358219 0 24866 0 Shipen Li MD Director, HealthAlliance Hospitals, Inc. 258138 0 58641 0 7502 0 13250 0 25170 0 362702 0 7502 0 Jeffrey N Metzmaker MD Director, UMM Med Group, Inc. 311559 0 119500 0 0 0 13250 0 26871 0 471179 0 0 0 Dominic Nompleggi MD Director, UMM Med Group, Inc. 227976 0 156377 0 0 0 13250 0 29479 0 427081 0 0 0 O Nsidinanya Okike MD Director, UMM Health Care, Inc. 126955 0 0 0 206903 0 1587 0 2328 0 337773 0 19000 0 Daniel O'Leary MD Director, Coordinated Primary Care, Inc. 195701 0 33735 0 1767 0 4876 0 3641 0 239720 0 0 0 Chris Philbin Director, Clinton Hospital Association 0 197596 0 36720 0 6189 0 28801 0 25965 0 295272 0 6189 Catherine Rossi Director, Clinton Hospital Association 0 179541 0 33048 0 12218 0 54986 0 24690 0 304483 0 12218 Deborah Ekstrom President unitl 1/16, Community HealthLink, Inc. 201175 0 46021 0 15068 0 72039 0 29286 0 363589 0 14037 0 Katharine Bolland Eshghi Assistant Secretary, UMM Health Care, Inc. 0 334982 0 75735 0 35381 0 74940 0 24357 0 545396 0 35381 Nicole Gagne President, Community HealthLink, Inc. 109970 0 0 0 28961 0 17931 0 33398 0 190260 0 0 0 John Glassburn Secretary, UMM Community Hospitals, Inc. 0 174318 0 9551 0 0 0 4854 0 22462 0 211185 0 0 Steven McCue Treasurer, Marlborough Hospital 181035 0 22495 0 0 0 13744 0 22489 0 239763 0 0 0 William O'Brien Secretary, UMBHS, Inc. 0 121856 0 7015 0 0 0 31003 0 25965 0 185841 0 0 Jeffrey Olson Treasurer, Clinton Hospital Assoc. 144343 0 20992 0 0 0 18317 0 25511 0 209163 0 0 0 Jeanne Shirshac Treasurer, UMM Accountable Care Organization, Inc. 0 199214 0 36755 0 6977 0 26980 0 24545 0 294471 0 6977 Francis W Smith Secretary, UMM Medical Group, Inc. 0 196526 0 14584 0 0 0 18175 0 26476 0 255762 0 0 Michele Streeter Treasurer, UMM Med Group, Inc. 405034 0 109058 0 29533 0 175084 0 25072 0 743782 0 29533 0 James P Cyr Sr. VP, Operations (UMMMC) 251134 0 57500 0 39833 0 144362 0 23357 0 516186 0 39833 0 Therese Day VP, Finance / CFO of Med Center 284949 0 64837 0 21081 0 114112 0 23357 0 508336 0 21081 0 Robert Feldmann VP, Corporate Controller 0 265340 0 89936 0 0 0 83498 0 25664 0 464438 0 0 Barbara Fisher Sr VP, Operations (UMMMC) 259412 0 59592 0 34021 0 145401 0 24962 0 523387 0 34021 0 Patricia George VP & Deputy CIO, until 11/15 0 301124 0 60469 0 25000 0 35957 0 15390 0 437939 0 25000 Margaret Hudlin MD CMO/VP Perioperative Svcs, until 9/1/16 352077 0 80325 0 114257 0 35700 0 25964 0 608323 0 114257 0 Cathy Jewell Sr VP, Chief Nursing Officer 271469 0 16200 0 64923 0 110865 0 26723 0 490179 0 0 0 Bart Metzger Sr VP, Chief HR Officer 0 275796 0 73918 0 9600 0 32921 0 18590 0 410826 0 0 John T Randolph VP, Chief Corporate Compliance 0 222205 0 51190 0 0 0 100688 0 25357 0 399440 0 0 Alice Shakman Sr. VP, Operations (UMMMC) 263479 0 58826 0 30620 0 113035 0 12157 0 478117 0 30620 0 Jeffrey A Smith MD Executive VP, COO 255953 0 129250 0 0 0 26095 0 13295 0 424593 0 0 0 Timothy Tarnowski Sr VP, Chief Info Officer 0 447018 0 101250 0 10449 0 54780 0 37335 0 650832 0 0 Diane Thompson Sr. VP, Chief Nursing Officer until 4/9/15 99292 0 45487 0 404752 0 17153 0 7803 0 574487 0 385039 0 David C Ayers MD Physician, Chair of Orthopedics and Physical Rehab - Med Group 636255 0 27750 0 0 0 13250 0 28897 0 706152 0 0 0 Adel Bozorgzadeh MD Physician, Chief of Organ Transplantation - Med Group 478476 0 259361 0 0 0 13250 0 29479 0 780565 0 0 0 Demetrius Litwin MD Physician, Chair of Surgery Dept - Med Group 586928 0 154924 0 0 0 13250 0 32135 0 787238 0 0 0 Ajit S Puri MD Physician, Division Chief of Neuroimaging and Intervention - Med Group 472848 0 198733 0 19000 0 13250 0 25006 0 728836 0 19000 0 Jennifer Walker MD Physician, Division Chief of Cardiac Surgery - Med Group 510639 0 125000 0 0 0 13250 0 28128 0 677018 0 0 0 Sharon Hylka Former Sr. VP, Hospital Admin until 1/14 0 0 0 0 298006 0 0 0 109 0 298116 0 281427 0 Robert A Phillips MD Former Med Dir, Heart & Vascular COE, until 6/7/13 0 0 0 0 783997 0 0 0 109 0 784106 0 783997 0 Arthur M Pappas MD Former Director UMM Community Hospitals, Inc. until 3/27/13 12981 0 0 0 800 0 2019 0 109 0 15910 0 800 0 Michael J Cofone Former Officer/Director until 6/14, HealthAlliance Hospitals, Inc. 92441 0 0 0 895 0 2861 0 9657 0 105853 0 0 0 Candra D Szymanski Former Interim President/Director until 12/13, Marlborough Hospital 0 0 0 0 35868 0 1348 0 260 0 37476 0 35868 0 Schedule J, Part II THE ABOVE DIRECOTRS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR. Schedule J, Part I, Line 4a Severance or change-of-control payment The following individuals received or had deferred severance in the reporting period: Included in Sch J Col Biii: 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 plan The 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 A MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS SERIES E REISSUED 043431814 000000000 2015-04-01 27290000 PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES E BONDS false false false B MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS SERIES F REISSUED 043431814 000000000 2015-05-21 27290000 PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES F BONDS false false false C MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A 043431814 000000000 2009-11-24 9420000 PAY OFF HEFA POOL O LOAN, ER RENOVATIONS, EICU EQUIPMENT, CT SCAN LEASE, MAMMOGRAPHY UNIT false false false D MHEFA-UMASS MEMORIAL SERIES G 042456011 SEEPARTVI 2010-05-27 61833656 REFUNDING OF CNEHA SERIES A BOND (1993) AND MEDICAL CENTER OF CENTRAL MA, SERIES B (1992) false false false A 1565000 0 27290000 0 520873 27290000 0 0 0 0 0 0 2015 true false true true B 1565000 0 27290000 0 430658 27290000 0 0 0 0 0 0 2015 true false true true C 1447000 0 9420000 0 1462535 0 93458 0 0 9326542 0 0 2009 true false true true D 27675000 0 61833836 0 14331579 60734797 1099039 0 0 0 0 0 2010 false false true true A false false false false 0.0 0.0 0.0 false false true B false false false false 0.0 0.0 0.0 false false true C false false false false 0.0 0.0 0.0 false false true D false false false false 0.0 0.0 0.0 false false true A false true false false true false false false true B false true false false true false false false true C false false true false true false false false true D false false false true false false false false true A true B true C true D true Schedule K, Part I, Column (c) Series G CUSIP List 57586EUS8, 57586EUT6, 57586EUU3, 57586EUV1, 57586EUW9, 57586EUX7, 57586EUY5, 57586EUZ2, 57586EVA6, 57586EVB4, 57586EVC2, 57586EVD0, 57586EVE8, 57586EVF5, 57586EVG3, 57586EVH1, 57586EVJ7 Schedule K, Part I, Column (c) Series H CUSIP List 57583UGP7, 57583UGQ5, 57583UGR3, 57583UGS1, 57583UGT9, 57583UGU6, 57583UGV4, 57583UGW2, 57583UGX0, 57583UGY8, 57583UGZ5, 57583UHA9, 57583UHB7, 57583UHC5 Schedule K, Part I, Column (c) Series I CUSIP List 57584XJK8, 57584XJL6, 57584XJM4, 57584XJN2, 57584XJP7, 57584XJQ5, 57584XJR3, 57584XJS1, 57584XJT9, 57584XJU6, 57584XJV4, 57584XJW2, 57584XJX0, 57584XJY8, 57584XJZ5, 57584XKA8, 57584XKB6, 57584XKC4 Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS, SERIES E REISSUED n/a Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS, SERIES F REISSUED n/a Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A N/A Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MHEFA-UMASS MEMORIAL, SERIES G 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 D Issuer name: MHEFA-UMASS MEMORIAL, SERIES G The calculation for computing no rebate due was performed on 10/14/2014 Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MDFA-UMASS MEMORIAL 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 Action Issuer name: MDFA-UMASS MEMORIAL, SERIES H N/A Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MDFA-UMASS MEMORIAL MASTER LEASE 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 Action Issuer 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 Action Issuer 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. A MDFA-UMASS MEMORIAL MASTER LEASE 043431814 000000000 2010-12-09 20000000 CAPITAL EQUIPMENT false false false B MDFA-UMASS MEMORIAL SERIES H 043431814 SEEPARTVI 2011-08-10 92293778 PART REFUND OF MED C VAR RATE SER A (98), REFUND IN FULL OF CNEHA SER B (98) &UMASS MEM SER C (01). false false false C MDFA-UMASS MEMORIAL MASTER LEASE 043431814 000000000 2011-12-28 20000000 CAPITAL EQUIPMENT false false false D MDFA-UMASS MEMORIAL MASTER LEASE 043431814 000000000 2013-08-14 20000000 CAPITAL EQUIPMENT false false false A 19127057 0 20005301 0 1005761 0 33031 0 5301 19966969 0 0 2011 false false true true B 23135000 0 92293778 0 20779186 91058463 1235315 0 0 0 0 0 2011 true false true true C 15674868 0 20013504 0 957147 0 29000 0 13504 19971000 0 0 2013 false false true true D 10105456 0 20000723 0 535906 0 36810 0 723 19963190 0 0 2013 false false true true A false false false false 0.0 0.0 0.0 false false true B false false false false 0.0 0.0 0.0 false false true C false false false false 0.0 0.0 0.0 false false true D false false false false 0.0 0.0 0.0 false false true A false false false false false true B false false true false false false false false true C false false false false false true D false false false false false true A true B true C true D true A MDFA - UMASS MEMORIAL SERIES I 043431814 SEEPARTVI 2016-02-02 194086349 REFUNDING IN FULL UMASS MEM SER A REV BONDS (98) AND UMASS MEM SERIES D (05), VARIOUS CONST & EQUIP. false false false A 0 0 194440018 0 3451523 130357177 2529172 0 0 15495277 0 45863432 true false false true A false false false false 0.0 0.0 0.0 false false true A false true false false false false false false true A true FLOYD CONNELLY FORMER EXECUTIVE DIRECTOR OF CMMIC, INC. CSV OF LIFE INSURANCE X 455570 335392 false true true THOMAS CUMMINGS FORMER CEO OF MARLBOROUGH HOSPITAL CSV OF LIFE INSURANCE X 302877 249690 false true true WILLIAM J WILLIAMS FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC. CSV OF LIFE INSURANCE X 1981627 4353944 false true true 4939026 Robert A Babineau Jr MD PC Entity more than 35% owned by Robert A. Babineau Jr., M.D., Board Director (until 2/16) 52392 3rd Party Payer Contract Payment false 80 Erdman Way LLC Entity more than 35% owned by John R. Clementi, Board Director 100949 Rental of Property - Expense false Princeton Biomedical Inc Entity more than 35% owned by Eric W. Dickson, M.D., Officer / Board Director 569610 Physician Services provided by Princeton Biomedical, Inc., which is contracted through Wachusett Emergency Physicians, PC false Marlboro Internal Medicine PC Entity more than 35% owned by Lalita Matta, M.D., Board Director 40304 3rd Party Payer Contract Payment false Leominster Medical Associates LP Entity more than 35% owned by Daniel J. O'Leary, M.D., Board Director 72073 3rd Party Payer Contract Payment false R Leslie Shelton MD PC Entity more than 35% owned by Robert Leslie Shelton, M.D., Board Director 12670 3rd Party Payer Contract Payment false Ellen Carlucci Family Member of Daniel Carlucci, M.D., Board Director 137387 Employment Arrangement w/ Marlborough Hospital false Joanne D'Onfro Family Member of Paul D'Onfro, Board Director 68047 Employment Arrangement w/ HealthAlliance Hospitals, Inc. false Jordan Eisenstock MD Family Member of Kimberly Eisenstock, M.D., Board Director 102992 Employment Arrangement w/ UMM Medical Group, Inc. false Kimberly Eisenstock MD Family Member of Jordan Eisenstock, M.D., Board Director 306487 Employment Arrangement w/ UMM Medical Group, Inc. false Elaine Granville RN Family Member of Cheryl Lapriore, Officer / Board Director 153333 Employment Arrangement w/ UMM Medical Center, Inc. false Eileen Henrickson RN Family Member of Deborah Ekstrom, Officer (until 1/16) 181768 Employment Arrangement w/ UMM Medical Center, Inc. false Kathleen Hylka Family Member of Sharon Hylka, Former Key Employee (until 1/14) 171638 Employment Arrangement w/ UMM Medical Center, Inc. false Kathryn C May Family Member of Deborah Ekstrom, Officer (until 1/16) 66868 Employment Arrangement w/ UMM Medical Center, Inc. false Joshua P Szymanski Family Member of Candra Szymanski, Former Board Director (until 12/13) 43724 Employment Arrangement w/ Marlborough Hospital false Schedule L, Part IV Business Transactions Involving Interested Persons Several 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 Persons Amounts 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. 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 persons MARLBOROUGH 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 stockholders THERE 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 body THE MAJORITY OF ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (UMMHC - Parent) THAT ELECTS THE BOARD OF TRUSTEES. THERE ARE NO CLASSES OF 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 stockholders THE MAJORITY OF THE ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (UMMHC - Parent) WITH THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ENTITY, WHICH IS EXERCISED BY THAT MEMBER'S BOARD OF TRUSTEES. THERE ARE NO CLASSES OF 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 body SECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD. THE COMPLIANCE COMMITTEE OF THE BOARD REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990, INCLUDING THE ABOVE SCHEDULES AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL. THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990 Form 990, Part VI, Line 12c Conflict of interest policy THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS AND MANAGEMENT TO COMPLETE ANNUAL DISCLOSURE STATEMENTS AND, TO UPDATE THESE DISCLOSURE STATEMENTS FOR SIGNIFICANT CHANGES IN THEIR OUTSIDE GOVERNANCE AND PROFESSIONAL ACTIVITIES OR, FINANCIAL RELATIONSHIPS AS APPROPRIATE. ADDITIONALLY, ALL TRANSACTIONS INVOLVING BOARD MEMBERS OR MANAGEMENT AND THE ORGANIZATION ARE REQUIRED TO BE APPROVED BY THE COMPLIANCE COMMITTEE OF THE BOARD. The following groups of individuals are covered by this policy: a. All Trustees/Directors: all UMM entities b. UMMHC/UMMMC/UMMMG: Dept Heads and above; selected others c. Physicians: all employed physicians, members of any board committee, members of Medical Staff Executive Committees; others as determined appropriate THERE IS ACTIVE MONITORING by the UMMHC Dept. of Compliance AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH DECISIONS. Any conflicts identified are reported to the appropriate officer and/or governing body. We have an appropriate management plan with any individuals with outside relationships that require mitigation. Where it is necessary, individuals may provide subject matter expertise however they have no influence or authorization of decisions for the organization. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION MATTERS 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 employees See the explanation for Part VI, Line 15a. Form 990, Part VI, Line 19 Required documents available to the public UMASS MEMORIAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AS REQUIRED BY APPLICABLE STATE AND FEDERAL LAWS, AND BY REQUEST ON A CASE-BY-CASE BASIS. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue REBATE INCOME - Total Revenue: 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 Fees Recruitment 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 #3642 UMMHC (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 balances NET 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 process THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM ON A CONSOLIDATED BASIS. THE ORGANIZATION HAS AN AUDIT COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT ACCOUNTING FIRM. Part VI, Line 8a and 8b The organization documents the board and committee meetings by taking minutes, which include all meeting discussions and actions. These written minutes are then approved at the following board and committee meetings. Page 1 Line Hc Members of Group exemption number 3642 The 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 UMASS MEMORIAL FOUNDATION INC 333 SOUTH STREET SHREWSBURY MA 01545 043108190 FUNDRAISING SUPPORT MA 501(c)(3 Type II NA false HEALTHALLIANCE REALTY CORPORATION 60 HOSPITAL ROAD LEOMINSTER MA 01473 042560754 REAL ESTATE MANAGEMENT MA 501(c)(2 NA false UMass Memorial Health Care Inc (Parent) 306 Belmont Street Worcester MA 01604 043358566 Management of Healthcare System MA 501(c)(3 Type III-FI na false UMASS MEMORIAL MRI OF MALRBOROUGH LLC 157 UNION STREET MARLBOROUGH MA 01752 202293995 MAGNETIC RESONANCE IMAGING MA MARLBOROUGH HOSPITAL Related 583940 429221 false false 0.56 UMASS MEMORIAL HEALTHALLIANCE MRI CENTER LLC 60 HOSPITAL ROAD LEOMINSTER MA 01453 043561571 MAGNETIC RESONANCE IMAGING MA NA Related 1064962 1331750 false false 0.6 MEMORIAL OFFICE CONDOMIUM TRUST 306 BELMONT STREET WORCESTER MA 01604 046616900 CONDOMINIUM ASSOCIATION MA UMASS MEMORIAL REALTY INC Trust 0 222132 0.5369 false BIO-LAB INC (disolved 123115) 215 WEST STREET MILFORD MA 01757 042708828 CLINICAL LABORATORY MA UMASS MEMORIAL HEALTH VENTURES INC S Corporation 0 0 1.00 116 BELMONT ST INC CO APPLETON CORP 57 SUFFOLK STREET HOLYOKE MA 01040 042717865 CONDOMINIUM ASSOCIATION MA UMASS MEMORIAL REALTY INC C Corporation -1309 164267 0.6304 false Commonwealth Professional Assurance Company Ltd P O Box 1051 GT Grand Cayman, CJ KY11102 980226143 Insurance CJ NA C Corporation false false false false false false false false false false true false false false false false true false false false HEALTHALLIANCE REALTY INC J 402912 FAIR VALUE HEALTHALLIANCE REALTY INC P 106480 FAIR VALUE