UMASS MEMORIAL HEALTH CARE INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- UMASS MEMORIAL HEALTH CARE INC (EIN 91-2155626)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-05
- IRS object ID
- 201632189349300343
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule K
- Schedule L
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-05T11:04:44-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135381590 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 PORTLAND STREET | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912155626 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UMASS MEMORIAL HEALTH CARE INC & AFFILIATES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UMAS | BusinessNameControlTxt |
| Phone | 5083340496 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 BELMONT STREET | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01604 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SERGIO MELGAR | PersonNm |
| Person Title | EVP/CFO/TREASURER | PersonTitleTxt |
| Phone | 5083340496 | PhoneNum |
| Signature | 2016-08-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFFREY T ROGERS | PreparerPersonNm |
| PTIN | P01074284 | PTIN |
| Phone | 6177427788 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SERGIO MELGAR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 BELMONT STREET | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,870,065,467 | GrossReceiptsAmt |
| Group Return For Affiliates | Yes (1) | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (1) | AllAffiliatesIncludedInd |
| Group Exemption | 3642 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UMASSMEMORIAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Activity Or Mission | UMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 192 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 104 | VotingMembersIndependentCnt |
| Total Employee | 15036 | TotalEmployeeCnt |
| Total Volunteers | 1182 | TotalVolunteersCnt |
| Total Gross UBI | $1,976,329 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,687,383 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,499,867 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,539,202,708 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,510,679,190 | CYProgramServiceRevenueAmt |
| PY Investment Income | $47,398,719 | PYInvestmentIncomeAmt |
| CY Investment Income | $41,297,302 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,933,184 | PYOtherRevenueAmt |
| CY Other Revenue | $11,103,132 | CYOtherRevenueAmt |
| PY Total Revenue | $2,610,221,994 | PYTotalRevenueAmt |
| CY Total Revenue | $2,577,579,491 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,940,267 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,483,733 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,292,502,919 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,277,516,317 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $301,241 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $323,352 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $835,153 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,246,056,328 | PYOtherExpensesAmt |
| CY Other Expenses | $1,201,618,437 | CYOtherExpensesAmt |
| PY Total Expenses | $2,543,800,755 | PYTotalExpensesAmt |
| CY Total Expenses | $2,483,941,839 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $66,421,239 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $93,637,652 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,142,414,587 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,290,835,371 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,235,963,484 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,382,662,313 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $906,451,103 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $908,173,058 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | UMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,187,083,343 | ExpenseAmt |
| Grant | $2,336,260 | GrantAmt |
| Revenue | $1,498,951,691 | RevenueAmt |
| Desc | UMASS MEMORIAL MEDICAL CENTERUMASS 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 2015 KEY STATISTICS - TOTAL DISCHARGES: 38,396TOTAL SURGICAL CASES: 28,966 TOTAL ER VISITS: 131,052 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $210,667,104 | ExpenseAmt |
| Grant | $69,298 | GrantAmt |
| Revenue | $269,554,234 | RevenueAmt |
| Desc | UMASS MEMORIAL COMMUNITY HOSPITALSTHE 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 2015 KEY STATISTICS -TOTAL DISCHARGES: 11,534TOTAL SURGICAL CASES: 8,501TOTAL ER VISITS: 84,427 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $438,100,920 | ExpenseAmt |
| Revenue | $465,476,475 | RevenueAmt |
| Desc | UMASS MEMORIAL MEDICAL GROUPTHE UMASS MEMORIAL MEDICAL GROUP IS A MULTISPECIALTY GROUP PRACTICE OF PHYSICIANS WHOSE MISSION AND PURPOSE IS TO SUPPORT THE CLINICAL, EDUCATIONAL, RESEARCH AND COMMUNITY SERVICE MISSIONS OF UMASS MEMORIAL HEALTH CARE AND UMASS MEMORIAL MEDICAL CENTER. UMASS MEMORIAL MEDICAL GROUP ACCOMPLISHES THIS MISSION BY PROVIDING MEDICAL CARE TO RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $73,699,339 | ExpenseAmt |
| Grant | $2,078,175 | GrantAmt |
| Revenue | $277,064,881 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICESOTHER 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, OVERSIGHT, ADMINISTRATIVE SERVICES OR PATIENT ADVOCACY SERVICES TO THE PATIENTS OF UMASS MEMORIAL, CENTRAL NEW ENGLAND, AND OTHER GEOGRAPHIES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $73,699,339 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $2,078,175 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $277,064,881 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,909,550,706 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | Yes (1) | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1565 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 15036 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 192 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 104 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT FELDMANN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5083340496 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 BELMONT STREET | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01604 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (156 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| ALFRED HOWARD MD | |||||||||
| DIRECTOR, UMM ACO, INC. | 37.00 | Yes (X) | $248,148 | $0 | $30,650 | ||||
| BAGLEY PETER MD | |||||||||
| DIRECTOR, UMM ACO, INC. | 27.00 | Yes (X) | $354,743 | $0 | $121,106 | ||||
| BROWN ALAN P MD | |||||||||
| SECRETARY, UMMHC, INC., DIRECTOR VARIOUS | 31.00 | Yes (X) | $193,418 | $0 | $34,737 | Yes (X) | |||
| CARLUCCI DANIEL MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 32.00 | Yes (X) | $309,832 | $0 | $41,594 | ||||
| COFONE MICHAEL J | |||||||||
| TREASURER/DIRECTOR, COORDINATED PRIMARY CARE, INC | 40.00 | Yes (X) | $367,804 | $0 | $37,725 | Yes (X) | |||
| CORBETT WILLIAM MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 40.00 | Yes (X) | $453,989 | $0 | $164,280 | ||||
| DALY SHEILA | |||||||||
| PRESIDENT, CLINTON HOSPITAL ASSOC., DIRECTOR HOSP | 40.00 | Yes (X) | $283,264 | $0 | $44,867 | Yes (X) | |||
| DICKSON ERIC W MD | |||||||||
| PRESIDENT & CEO/DIRECTOR, UMM HEALTH CARE, INC. | 40.00 | Yes (X) | $1,333,724 | $0 | $270,644 | Yes (X) | |||
| DUNCAN DAVID | |||||||||
| DIRECTOR UNTIL 8/3/15, COORDINATED PRIMARY CARE, | 40.00 | Yes (X) | $196,369 | $0 | $30,664 | ||||
| EISENSTOCK JORDAN MD | |||||||||
| DIRECTOR, UMM ACO, INC. | 40.00 | Yes (X) | $185,876 | $0 | $32,895 | ||||
| FAIRCHILD DAVID MD | |||||||||
| PRESIDENT/DIRECTOR, UMM ACO, INC. | 40.00 | Yes (X) | $512,543 | $0 | $103,616 | Yes (X) | |||
| FERGUSON R KEVIN MD | |||||||||
| DIRECTOR, UMM MED GROUP, INC. | 40.00 | Yes (X) | $277,690 | $0 | $37,521 | ||||
| FINBERG ROBERT W MD | |||||||||
| DIRECTOR, UMM HEALTH CARE, INC. | 20.00 | Yes (X) | $315,755 | $0 | $132,665 | ||||
| GOTTLIEB PHILIP D MD | |||||||||
| DIRECTOR UNTIL 12/13, CLINTON HOSPITAL ASSOC. | 40.00 | Yes (X) | $372,910 | $0 | $37,761 | ||||
| HARLAN DAVID MD | |||||||||
| DIRECTOR, UMM ACO, INC. | 20.00 | Yes (X) | $181,056 | $0 | $34,745 | ||||
| IITSUKA CARLOS | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC. | 40.00 | Yes (X) | $93,476 | $0 | $16,575 | ||||
| KENNEDY KATHRYN MD | |||||||||
| DIRECTOR, UMM MED GROUP, INC. | 36.00 | Yes (X) | $289,156 | $0 | $41,588 | ||||
| LAPRIORE CHERYL M | |||||||||
| PRESIDENT/DIRECTOR, UMM HEALTH VENTURES, INC. | 40.00 | Yes (X) | $369,560 | $0 | $123,508 | Yes (X) | |||
| LASSER DANIEL H MD | |||||||||
| DIRECTOR, UMM MED GROUP, INC. | 20.00 | Yes (X) | $260,581 | $0 | $83,128 | ||||
| MESSINA LOUIS MD | |||||||||
| DIRECTOR UNTIL 3/14, UMM MED GROUP, INC. | 33.00 | Yes (X) | $597,486 | $0 | $41,891 | ||||
| METZMAKER JEFFREY N MD | |||||||||
| DIRECTOR, UMM MED GROUP, INC. | 29.00 | Yes (X) | $425,311 | $0 | $39,061 | ||||
| MULDOON PATRICK | |||||||||
| PRESIDENT, UMM MED CTR, INC., | 40.00 | Yes (X) | $869,566 | $0 | $295,711 | Yes (X) | |||
| NOMPLEGGI DOMINIC MD | |||||||||
| DIRECTOR, UMM MED GROUP, INC. | 29.00 | Yes (X) | $342,706 | $0 | $43,154 | ||||
| OKIKE O NSIDINANYA MD | |||||||||
| DIRECTOR, UMM HEALTH CARE, INC. | 40.00 | Yes (X) | $534,847 | $0 | $40,943 | ||||
| O'LEARY DANIEL MD | |||||||||
| DIRECTOR, COORDINATED PRIMARY CARE, INC. | 25.00 | Yes (X) | $188,960 | $0 | $7,673 | ||||
| PHILBIN CHRIS | |||||||||
| DIRECTOR, UMASS MEMORIAL COMMUNITY HOSPITALS, INC | 40.00 | Yes (X) | $229,880 | $0 | $49,690 | ||||
| ROACH STEVEN | |||||||||
| PRESIDENT/DIRECTOR, MARLBOROUGH HOSPITAL | 40.00 | Yes (X) | $457,614 | $0 | $65,400 | Yes (X) | |||
| ROSEN MAX P MD | |||||||||
| DIRECTOR, CMMIC, INC. | 24.00 | Yes (X) | $407,337 | $0 | $16,840 | ||||
| ROSSI CATHERINE | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 40.00 | Yes (X) | $208,552 | $0 | $47,729 | ||||
| SIOUFI HABIB A MD | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 40.00 | Yes (X) | $207,566 | $0 | $34,623 | ||||
| SWENSON DANA E | |||||||||
| PRESIDENT/DIRECTOR, UMM REALTY, INC. | 40.00 | Yes (X) | $296,299 | $0 | $146,610 | Yes (X) | |||
| TOSI STEPHEN E MD | |||||||||
| PRESIDENT, UMM MED GROUP, INC., DIRECTOR VARIOUS | 40.00 | Yes (X) | $1,249,264 | $0 | $288,367 | Yes (X) | |||
| YOUNG LYNDA M MD | |||||||||
| DIRECTOR, UMM HEALTH CARE, INC. | 1.00 | Yes (X) | $40,974 | $0 | $107 | ||||
| ZIEDONIS DOUGLAS MD | |||||||||
| PRESIDENT/DIRECTOR, UMBHS, INC. | 20.00 | Yes (X) | $227,696 | $0 | $40,499 | Yes (X) | |||
| ALLEN GAIL | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ARNOW JONATHAN MD | |||||||||
| DIRECTOR UNTIL 6/15, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BABINEAU ROBERT JR MD | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BENNETT DAVID L | |||||||||
| CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BENNETT RICHARD K | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BERGERON ARTHUR | |||||||||
| DIRECTOR UNTIL 12/14, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BERKEY DENNIS D | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BERRY SARAH G | |||||||||
| EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BOUDREAU NORMAN | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BOVENZI LESLIE | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BUDD JOHN H | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CARLSON MARY | |||||||||
| DIRECTOR UNTIL 7/14, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CATALINA FERNANDO MD | |||||||||
| VICE CHAIRPERSON, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHERUBINI J PAUL | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CLEMENTI JOHN | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| COLLINS MICHAEL MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| COLONERO BENJAMIN H JR | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CONNOR EDWARD J | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CONNORS MARTIN JR | |||||||||
| DIRECTOR UNTIL 4/14, CENTRAL NEW ENGLAND HEALTHALL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CORNELL LOIS D | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CROCKER FREDERICK G | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CUTLER J CHRISTOPHER FACHE | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| D'ALELIO EDWARD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVIS DIX F | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DENNEHY RAYMOND III | |||||||||
| CHAIRPERSON UNTIL 3/15, HEALTH ALLIANCE HOME HEALT | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DIGERONIMO ARTHUR P JR | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| D'ONFRO PAUL | |||||||||
| CHAIRPERSON, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| FARRELL LYNNE | |||||||||
| DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE, | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| FITCH ROGER | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| FLOTTE TERENCE MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GRASSETTE AMY | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GRAY JENNIFER | |||||||||
| DIRECTOR UNTIL 6/15, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GUARDIOLA ELVIRA | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| HENEBRY CLARK | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| HURLEY FRANCIS | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JACOBSON M HOWARD | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHNSON JOANNE | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KANGAS PAUL | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KAPLAN DANIEL | |||||||||
| DIRECTOR UNTIL 12/14, UMASS MEMORIAL MEDICAL GROUP | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KNOX PETER | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KUPFER BARBARA | |||||||||
| DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LATIMER JOHN MD | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LENHARDT STEPHEN W SR | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MACNEILL HARRIS L | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MANZI EDWARD | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARTIN DONATA | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MASEDA LUIS J | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MATTA LALITA MD | |||||||||
| DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MCGRAIL WILLIAM ESQUIRE | |||||||||
| CHAIRPERSON, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MCGUIRE TONI | |||||||||
| DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MCMULLEN CYNTHIA M EDD | |||||||||
| EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MCNAMARA MARY ELLEN | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MENDOZA STEVEN | |||||||||
| DIRECTOR UNTIL 6/15, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MERCADANTE ANTHONY J | |||||||||
| DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE, | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MOLLOY ANN K | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MURPHY MICHAEL D | |||||||||
| VICE CHAIRPERSON, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PARRY EDWARD J III | |||||||||
| VICE CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAULHUS ROBERT J JR | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAULINO JEANNE | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PEDERSON THORU | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PICI MICHAEL MD | |||||||||
| DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PONGOR PAUL J MD | |||||||||
| DIRECTOR UNTIL 12/14, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PURCELL PHILIP E | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHER GERARD P | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RIVARD MICHAEL | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SANCHEZ CAROL | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SEYMOUR-ROUTE PAULETTE PHD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHARMA VIBHA MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHEA JOHN ESQUIRE | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHELTON ROBERT LESLIE MD | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SIEGRIST RICHARD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| STECYK MARKIAN MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| TAYLOR HARVEY MD | |||||||||
| DIRECTOR UNTIL 1/15, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WALTON DAVID | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WEISBERG OREN MD | |||||||||
| DIRECTOR UNTIL 3/15, HEALTHALLIANCE HOSPITALS, INC | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WHITNEY MARY | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILSON JACK | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BOLLAND ESHGHI KATHARINE | |||||||||
| ASSISTANT SECRETARY, UMMHC, INC. | 40.00 | $393,499 | $0 | $95,011 | Yes (X) | ||||
| BRONHARD JOHN | |||||||||
| TREASURER, CNEHA, INC. | 40.00 | $218,445 | $0 | $11,391 | Yes (X) | ||||
| BROWN DOUGLAS S | |||||||||
| SECRETARY, UMM HEALTH CARE, INC. | 40.00 | $885,272 | $0 | $248,130 | Yes (X) | ||||
| COCCHIARELLA ANDREW MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 40.00 | $314,972 | $0 | $38,305 | Yes (X) | ||||
| CROTEAU MAUREEN | |||||||||
| SECRETARY, CLINTON HOSPITAL ASSOC. | 40.00 | $54,459 | $0 | $23,525 | Yes (X) | ||||
| D'AMBRA ANN-MARIA | |||||||||
| SECRETARY, MARLBOROUGH HOSPITAL | 40.00 | $49,820 | $0 | $25,876 | Yes (X) | ||||
| EKSTROM DEBORAH | |||||||||
| PRESIDENT, COMMUNITY HEALTHLINK, INC. | 40.00 | $260,038 | $0 | $119,137 | Yes (X) | ||||
| GREENWOOD JOHN | |||||||||
| TREASURER, UMM ACO, INC. | 40.00 | $273,567 | $0 | $104,283 | Yes (X) | ||||
| KEATING TODD A | |||||||||
| TREASURER UNTIL 2/14, UMM HEALTH CARE, INC. | 40.00 | $1,190,005 | $0 | $149,070 | Yes (X) | ||||
| MCCUE STEVEN | |||||||||
| TREASURER, MARLBOROUGH HOSPITAL | 40.00 | $195,208 | $0 | $44,640 | Yes (X) | ||||
| MELGAR SERGIO | |||||||||
| TREASURER, UMASS MEMORIAL HEALTH CARE, INC. | 40.00 | $857,255 | $0 | $89,174 | Yes (X) | ||||
| MORIN LYNN A | |||||||||
| SECRETARY, CNEHA, INC. | 40.00 | $87,389 | $0 | $7,355 | Yes (X) | ||||
| O'BRIEN WILLIAM | |||||||||
| SECRETARY, UMBHS, INC. | 40.00 | $124,759 | $0 | $58,649 | Yes (X) | ||||
| OLSON JEFFREY | |||||||||
| TREASURER, CLINTON HOSPITAL ASSOC. | 40.00 | $155,872 | $0 | $58,847 | Yes (X) | ||||
| SHAKMAN ALICE | |||||||||
| PRESIDENT, CMMIC, INC. | 40.00 | $342,099 | $0 | $156,617 | Yes (X) | ||||
| SMITH FRANCIS W | |||||||||
| CLERK, UMM HEALTH VENTURES, INC. | 40.00 | $202,881 | $0 | $76,410 | Yes (X) | ||||
| STREETER MICHELE | |||||||||
| TREASURER, UMM MED GROUP, INC. | 40.00 | $593,494 | $0 | $248,789 | Yes (X) | ||||
| SZYMANSKI CANDRA D | |||||||||
| INTERIM PRESIDENT UNTIL 12/13, MARLBOROUGH HOSPIT | 40.00 | $190,684 | $0 | $13,521 | Yes (X) | ||||
| WEYMOUTH DEBORAH | |||||||||
| PRESIDENT, CENTRAL NEW ENGLAND HEALTHALLIANCE, IN | 40.00 | $223,633 | $0 | $6,415 | Yes (X) | ||||
| ANDERSON MILTON | |||||||||
| SR. VP, CHIEF HR OFFICER UNTIL 9/14 | 40.00 | $771,463 | $0 | $388,099 | Yes (X) | ||||
| BRENCKLE GEORGE PHD | |||||||||
| SR. VP, CIO UNTIL 4/14 | 40.00 | $519,540 | $0 | $349,803 | Yes (X) | ||||
| CYR JAMES P | |||||||||
| SR VP, HEART AND VASCULAR DISEASES | 40.00 | $321,924 | $0 | $185,405 | Yes (X) | ||||
| DAY THERESE | |||||||||
| VP, FINANCE / CFO OF MED CENTER | 40.00 | $371,674 | $0 | $179,287 | Yes (X) | ||||
| DIAMOND VICTORIA | |||||||||
| SR. VP, OPERATIONS, UNTIL 1/14 | 40.00 | $422,990 | $0 | $142,327 | Yes (X) | ||||
| FELDMANN ROBERT | |||||||||
| VP, CORPORATE CONTROLLER | 40.00 | $322,778 | $0 | $154,309 | Yes (X) | ||||
| FISHER BARBARA | |||||||||
| SR VP, OPERATIONS | 40.00 | $379,613 | $0 | $152,588 | Yes (X) | ||||
| GEORGE PATRICIA | |||||||||
| VP & DEPUTY CIO | 40.00 | $18,466 | $0 | $340,096 | Yes (X) | ||||
| HUDLIN MARGARET MD | |||||||||
| CHIEF MED OFFICER/VP PERIOPERATIVE SVCS | 40.00 | $435,170 | $0 | $68,882 | Yes (X) | ||||
| HYLKA SHARON | |||||||||
| SR. VP, HOSPITAL ADMIN UNTIL 1/14 | 40.00 | $971,604 | $0 | $270,706 | Yes (X) | ||||
| JEWELL CATHY | |||||||||
| SR VP, CHIEF NURSING OFFICER | 40.00 | $230,486 | $0 | $47,579 | Yes (X) | ||||
| RANDOLPH JOHN | |||||||||
| CHIEF COMPLIANCE OFFICER | 40.00 | $250,818 | $0 | $118,330 | Yes (X) | ||||
| TARNOWSKI TIMOTHY | |||||||||
| SR VP, CHIEF INFO OFFICER | 40.00 | $82,456 | $0 | $1,461 | Yes (X) | ||||
| THOMPSON DIANE | |||||||||
| SR VP CHIEF NURSING OFF UNTIL 4/9/15 | 40.00 | $421,608 | $0 | $382,512 | Yes (X) | ||||
| LITWIN DEMETRIUS MD | |||||||||
| PHYSICIAN, CHAIR OF SURGERY DEPT | 27.00 | $717,655 | $0 | $41,775 | Yes (X) | ||||
| BOZORGZADEH ADEL MD | |||||||||
| PHYSICIAN, CHIEF OF ORGAN TRANSPLANTATION | 32.00 | $712,759 | $0 | $41,594 | Yes (X) | ||||
| AROUS ELIAS J MD | |||||||||
| PHYSICIAN, ASSOC. CHIEF MEDICAL OFFICER, CHIEF OF | 32.00 | $645,700 | $0 | $39,061 | Yes (X) | ||||
| AYERS DAVID C MD | |||||||||
| PHYSICIAN, CHAIR OF ORTHOPEDICS AND PHYSICAL REHA | 33.00 | $641,344 | $0 | $40,769 | Yes (X) | ||||
| BUSCONI BRIAN D MD | |||||||||
| PHYSICIAN, CHIEF OF ORTHOPEDICS | 33.00 | $617,122 | $0 | $39,061 | Yes (X) | ||||
| CHANDLER WILLIS | |||||||||
| FMR DIR CLINTON UNTIL 12/31/11 | 0.00 | $43,852 | $0 | $107 | Yes (X) | ||||
| FERRUCCI JOSEPH MD | |||||||||
| FMR DIR CMMIC UNTIL 3/31/13 | 0.00 | $276,314 | $0 | $24,085 | Yes (X) | ||||
| PAPPAS ARTHUR M MD | |||||||||
| FMR DIR UNTIL 3/27/13 | 0.00 | $13,536 | $0 | $208 | Yes (X) | ||||
| MOORE KAREN | |||||||||
| FMR PRESIDENT/DIR UNTIL 3/25/13 | 0.00 | $156,975 | $0 | $40,023 | Yes (X) | ||||
| BLUTE MICHAEL MD | |||||||||
| FMR KEY EE UNTIL 3/31/2012, CANCER CENTER OF E | 0.00 | $122,006 | $0 | $107 | Yes (X) | ||||
| DALEY JENNIFER MD | |||||||||
| FMR EXEC VP, COO, UNTIL 3/18/13 | 0.00 | $529,399 | $0 | $126,216 | Yes (X) | ||||
| ETTINGER WALTER H MD | |||||||||
| FMR KEY EE/PRES MEDCTR UNTIL 1/20/12 | 0.00 | $716,815 | $0 | $107 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $30,211,370 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $7,328,209 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2662 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| XEROX BUSINESS SVCS LLC | |||||
| PO BOX 201322 | DALLAS | TX | 75320 | I/S MANAGEMENT SERVICES | $27,975,170 |
| UMASS MEMORIAL SHIELDS PHARMACY | |||||
| 25 ROCKWOOD ROAD | MARSHFIELD | MA | 02050 | PHARMACY MANAGEMENT SERVICES | $14,525,219 |
| PRICE WATERHOUSE COOPERS LLP | |||||
| PO BOX 7247 8001 | PHILADELPHIA | PA | 19170 | CONSULTING SERVICES | $5,009,858 |
| SODEXO INC & AFFILIATES | |||||
| PO BOX 360170 | PITTSBURGH | PA | 152515170 | FOOD & HOUSEKEEPING SERVICES | $4,595,689 |
| LEIDOS HEALTH LLC | |||||
| PO BOX 223866 | PITTSBURGH | PA | 15251 | PROFESSIONAL BILLING SERVICES | $4,518,377 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 180 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Federated Campaigns | $70,000 | FederatedCampaignsAmt |
| Fundraising | $731,239 | FundraisingAmt |
| Related Organizations | $446,198 | RelatedOrganizationsAmt |
| Government Grants | $8,578,916 | GovernmentGrantsAmt |
| All Other Contributions | $4,673,514 | AllOtherContributionsAmt |
| Noncash Contributions | $10,853 | NoncashContributionsAmt |
| Total Contributions | $14,499,867 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE RE | 900099 | $1,960,116,077 | $1,960,116,077 |
| SYSTEM ALLOCATION REVE | 900099 | $171,072,958 | $171,072,958 |
| SPECIAL MEDICAID PAYME | 900099 | $168,649,504 | $168,649,504 |
| AFFILIATE RELATED PROG | 900099 | $148,657,627 | $148,657,627 |
| OTHER PSR & JV | 900099 | $36,449,481 | $36,449,481 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,733,543 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,733,543 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,510,679,190 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,473,582 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,162 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,186 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,435,234 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $78,143 | TotalRevenueColumnAmt |
| Exclusion | $78,143 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,628,666 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,371,048 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,257,618 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,257,618 | TotalRevenueColumnAmt |
| Exclusion | $1,257,618 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $321,450,973 | SecuritiesAmt |
| Other | $183,376 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $290,148,455 | SecuritiesAmt |
| Other | $662,174 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $31,302,518 | SecuritiesAmt |
| Other | -$478,798 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,823,720 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$368,600 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $31,192,320 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $283,518 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $731,239 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $304,299 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$20,781 | TotalRevenueColumnAmt |
| Exclusion | -$20,781 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| OTHER REVENUE | 900099 | $7,527,369 | $700,529 | -$157,778 | $6,984,618 |
| LAB OUTREACH PROGRAM | 621500 | $2,131,921 | $2,131,921 | ||
| SUBLEASE INCOME | 900099 | $128,862 | $128,862 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,788,152 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,577,579,491 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,511,047,281 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,976,329 | UnrelatedBusinessRevenueAmt |
| Exclusion | $50,056,014 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,385,885 | TotalAmt |
| Program Services | $4,385,885 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,848 | TotalAmt |
| Program Services | $97,848 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,388,756 | TotalAmt |
| Program Services | $14,462,233 | ProgramServicesAmt |
| Management And General | $16,926,523 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $970,434,089 | TotalAmt |
| Program Services | $789,180,382 | ProgramServicesAmt |
| Management And General | $180,904,401 | ManagementAndGeneralAmt |
| Fundraising | $349,306 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,119,199 | TotalAmt |
| Program Services | $57,068,484 | ProgramServicesAmt |
| Management And General | $13,047,416 | ManagementAndGeneralAmt |
| Fundraising | $3,299 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,261,372 | TotalAmt |
| Program Services | $107,394,752 | ProgramServicesAmt |
| Management And General | $31,845,944 | ManagementAndGeneralAmt |
| Fundraising | $20,676 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,312,901 | TotalAmt |
| Program Services | $53,230,350 | ProgramServicesAmt |
| Management And General | $13,071,540 | ManagementAndGeneralAmt |
| Fundraising | $11,011 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,196,488 | TotalAmt |
| Program Services | $46,543,893 | ProgramServicesAmt |
| Management And General | $14,652,595 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,723,857 | TotalAmt |
| Program Services | $91,050 | ProgramServicesAmt |
| Management And General | $1,632,807 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,099,208 | TotalAmt |
| Program Services | $85 | ProgramServicesAmt |
| Management And General | $1,099,123 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,020 | TotalAmt |
| Program Services | $177,020 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,352 | TotalAmt |
| Fundraising | $323,352 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,020,780 | TotalAmt |
| Management And General | $1,020,780 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,868,879 | TotalAmt |
| Program Services | $211,958,691 | ProgramServicesAmt |
| Management And General | $72,877,307 | ManagementAndGeneralAmt |
| Fundraising | $32,881 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,593,284 | TotalAmt |
| Program Services | $91,822 | ProgramServicesAmt |
| Management And General | $1,483,113 | ManagementAndGeneralAmt |
| Fundraising | $18,349 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,952,176 | TotalAmt |
| Program Services | $14,345,605 | ProgramServicesAmt |
| Management And General | $9,599,848 | ManagementAndGeneralAmt |
| Fundraising | $6,723 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,641,153 | TotalAmt |
| Program Services | $3,280,896 | ProgramServicesAmt |
| Management And General | $48,360,257 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,776,589 | TotalAmt |
| Program Services | $46,762,931 | ProgramServicesAmt |
| Management And General | $27,009,664 | ManagementAndGeneralAmt |
| Fundraising | $3,994 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,616,353 | TotalAmt |
| Program Services | $1,916,464 | ProgramServicesAmt |
| Management And General | $699,317 | ManagementAndGeneralAmt |
| Fundraising | $572 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,603,035 | TotalAmt |
| Program Services | $1,029,559 | ProgramServicesAmt |
| Management And General | $571,716 | ManagementAndGeneralAmt |
| Fundraising | $1,760 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,305,620 | TotalAmt |
| Program Services | $14,818,411 | ProgramServicesAmt |
| Management And General | $487,209 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,110,509 | TotalAmt |
| Program Services | $79,507,614 | ProgramServicesAmt |
| Management And General | $23,602,895 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,293,792 | TotalAmt |
| Program Services | $6,530,040 | ProgramServicesAmt |
| Management And General | $4,763,752 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $244,327,125 | $200,099,889 | $44,227,236 | |
| MEDICAL EDUCATION SERVI | $131,284,106 | $131,057,825 | $226,281 | |
| SYSTEM OVERHEAD ACTIVIT | $120,694,736 | $69,929,275 | $50,765,461 | |
| PURCHASED SERVICES | $36,073,800 | $25,923,643 | $10,105,523 | $44,634 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,259,927 | TotalAmt |
| Program Services | $29,666,059 | ProgramServicesAmt |
| Management And General | $4,575,272 | ManagementAndGeneralAmt |
| Fundraising | $18,596 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,483,941,839 | TotalAmt |
| Program Services | $1,909,550,706 | ProgramServicesAmt |
| Management And General | $573,555,980 | ManagementAndGeneralAmt |
| Fundraising | $835,153 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,339,673 | BOYAmt |
| EOY | $119,788,165 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,569,765 | BOYAmt |
| EOY | $65,070,897 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,221,500 | BOYAmt |
| EOY | $562,552 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,415,754 | BOYAmt |
| EOY | $250,995,615 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,432,374 | BOYAmt |
| EOY | $4,703,689 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,989,817 | BOYAmt |
| EOY | $33,456,546 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,740,080 | BOYAmt |
| EOY | $29,117,718 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,751,081 | BOYAmt |
| EOY | $22,899,661 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,669,626,558 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,086,098,052 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $616,971,066 | BOYAmt |
| EOY | $583,528,506 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $459,751,041 | BOYAmt |
| EOY | $72,182,619 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,159,185 | BOYAmt |
| EOY | $519,994,237 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,417,054 | BOYAmt |
| EOY | $63,800,082 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,656,197 | BOYAmt |
| EOY | $524,735,084 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,142,414,587 | BOYAmt |
| EOY | $2,290,835,371 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,838,208 | BOYAmt |
| EOY | $286,431,598 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $584,353 | BOYAmt |
| EOY | $338,032 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,420,067 | BOYAmt |
| EOY | $6,297,369 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $340,791,673 | BOYAmt |
| EOY | $327,411,105 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,087,007 | BOYAmt |
| EOY | $43,756,483 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,590,236 | BOYAmt |
| EOY | $50,000,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $529,651,940 | BOYAmt |
| EOY | $668,427,726 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,235,963,484 | BOYAmt |
| EOY | $1,382,662,313 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $741,359,678 | BOYAmt |
| EOY | $747,417,618 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,449,119 | BOYAmt |
| EOY | $76,999,973 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,642,306 | BOYAmt |
| EOY | $83,755,467 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $906,451,103 | BOYAmt |
| EOY | $908,173,058 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,142,414,587 | BOYAmt |
| EOY | $2,290,835,371 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $93,637,652 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$36,655,809 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$55,259,888 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $175,957 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | Yes (1) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $1,063 | RalliesDemonstrationsAmt |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $177,020 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $115,101,660 | BeginningYearBalanceAmt |
| Contributions | $5,757,118 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,182,362 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$1,200,560 | OtherExpendituresAmt |
| End Year Balance | $119,876,976 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $112,462,194 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,419,969 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$4,425,190 | OtherExpendituresAmt |
| Administrative Expenses | -$2,355,313 | AdministrativeExpensesAmt |
| End Year Balance | $115,101,660 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $109,418,023 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8,142,465 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$5,098,294 | OtherExpendituresAmt |
| End Year Balance | $112,462,194 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $98,294,963 | BeginningYearBalanceAmt |
| Contributions | $2,557,800 | ContributionsAmt |
| Investment Earnings Or Losses | $12,021,986 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,456,726 | OtherExpendituresAmt |
| End Year Balance | $109,418,023 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $104,017,758 | BeginningYearBalanceAmt |
| Contributions | $316,330 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,402,463 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,636,662 | OtherExpendituresAmt |
| End Year Balance | $98,294,963 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.71000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.29000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,807,895 | OtherCostOrOtherBasisAmt |
| Book Value | $8,807,895 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $839,373,502 | OtherCostOrOtherBasisAmt |
| Depreciation | $514,258,026 | DepreciationAmt |
| Book Value | $325,115,476 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,930,326 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,284,285 | DepreciationAmt |
| Book Value | $10,646,041 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $749,469,454 | OtherCostOrOtherBasisAmt |
| Depreciation | $554,643,101 | DepreciationAmt |
| Book Value | $194,826,353 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,045,381 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,912,640 | DepreciationAmt |
| Book Value | $44,132,741 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $583,528,506 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| BENEFICIAL INTEREST IN TRUSTS | $66,580,170 | F |
| COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | $120,000 | F |
| BIO VENTURES | $123,323 | F |
| INVESTMENT IN UMASS MEMORIAL INVESTMENT PARTNERSHIP, LLP | $453,170,744 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $519,994,237 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED PARTIES | $136,245,479 |
| CSV LIFE INSURANCE | $31,951 |
| MALPRACTICE TAIL COVERAGE | $33,862,723 |
| LONG TERM SECURITY DEPOSITS | $159,722 |
| OTHER NON-CURRENT ASSETS | $621,455 |
| RECEIVABLE FROM MEDICAID | $325,437,201 |
| DUE FROM THIRD PARTIES | $28,376,553 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $524,735,084 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (13 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO UMASS MEDICAL SCHOOL | $165,944,420 |
| THIRD PARTY LIABILITIES | $61,203,632 |
| DUE TO RELATED PARTIES | $120,975,290 |
| ACCRUED PENSION POST RETIREMENT BENEFITS | $205,127,263 |
| O/S LOSS RESERVES | $31,526,604 |
| ESTIMATED MALPRACTICE COSTS | $33,862,723 |
| OTHER | $1,425,988 |
| ANNUITY PAYABLE | $2,835,602 |
| LT LIABILITY ARO | $9,763,160 |
| ACCRUED LT LIABILITIES | $4,142,820 |
| CLAIMS RESERVES | $89,125 |
| MEDICARE RESERVES | $30,000 |
| NOTE PAYABLE TO AFFILIATES (MC AND UMBHS) | $31,501,099 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $668,427,726 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | (ASC 740): 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 IS NOT MATERIAL 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. |
| FORM 990, SCHEDULE D, PART V ENDOWMENT FUNDS QUESTION 3A(I) & 4: | ARE THERE ENDOWMENT FUNDS NOT IN THE POSSESSION OF THE ORGANIZATION THAT ARE HELD AND ADMINISTERED FOR THE ORGANIZATION BY: (I) UNRELATED ORGANIZATIONS: YES OR NO 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 ART 11 WILLIAM H CROPPER TRUST U/WILL PAR 15 WILLIAM H CROPPER TRUST U/WILL ART 18 WILLIAM H CROPPER TRUST UNDER 2ND CODICIL OF WILL OF WILLIAM H CROPPER TRUST U/WILL 4TH COD WILLIAM H CROPPER DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE HOSPITAL. BNY MELLON WEALTH MANAGEMENT IS AN UNRELATED ORGANIZATION. PART V ENDOWMENT FUNDS QUESTION 4: PARENT - 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 G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | ActivityActivityTxt | Fundraiser Control Of FundsFundraiserControlOfFundsInd | Gross ReceiptsGrossReceiptsAmt | Retained By ContractorRetainedByContractorAmt | Net To OrganizationNetToOrganizationAmt |
|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL FOUNDATION INC | ||||||||
| 333 SOUTH STREET | SHREWSBURY | MA | 01545 | FUNDRAISING | 0 | $541,913 | $227,352 | $314,561 |
| JNB ASSOCIATES | ||||||||
| 21 WATER STREET | AMESBURY | MA | 01913 | FUNDRAISING | 0 | $0 | $96,000 | -$96,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $541,913 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $323,352 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $218,561 | TotalNetToOrganizationAmt |
| Licensed States | MA | LicensedStatesCd |
| Licensed States | NH | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | PARENT-WINTER BALL | Event1Nm |
| Gross Receipts Event1 | $375,693 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $313,504 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $62,189 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $21,608 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $19,067 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $8,747 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $12,767 | OtherDirectExpensesEvent1Amt |
| Event2 | CNEHA GOLF TOURNAMENT | Event2Nm |
| Gross Receipts Event2 | $305,899 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $162,940 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $142,959 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $26,101 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $80,403 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $36,455 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 8 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $333,165 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $254,795 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $78,370 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $11,567 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $3,134 | RentFcltyCostsOtherEventsAmt |
| Entertainment Other Events | $18,100 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $66,350 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $1,014,757 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $731,239 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $283,518 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $37,668 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $105,145 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $19,067 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $26,847 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $115,572 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $304,299 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$20,781 | NetIncomeSummaryAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2B - FUNDRAISER ADDITIONAL INFORMATION (CONTINUED) | UMASS MEMORIAL HEALTH CARE, INC. PAYS UMASS MEMORIAL FOUNDATION, INC. ITS PRORATA SHARE OF OPERATING EXPENSES BASED ON THE SPLIT OF UMASS MEMORIAL CONTRIBUTION RECEIPTS VERSUS THE OVERALL TOTAL CONTRIBUTION RECEIPTS AS COLLECTED BY THE FOUNDATION. |
| SCHEDULE G - ADDITIONAL INFORMATION | PART II, COLUMN (A) EVENT #1 THE WINTER BALL WAS HELD BY THE PARENT PART II, COLUMN (B) EVENT #2 THE HOSPITAL GOLF TOURNEY WAS HELD BY CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. PART II, COLUMN (C) OTHER EVENTS (10 EVENTS REPORTED) ARE: 1. SPEAKEASY HELD BY HEALTHALLIANCE HOSPITALS 2. DENNEHY GOLF TOURNAMENT HELD BY HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. 3. LOVELIGHT HELD BY HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. 4. NICU GOLF-A-THON WAS HELD BY THE PARENT 5. LINKS TO THE FUTURE EVENT WAS HELD BY THE PARENT, 6. GALA BALL WAS HELD BY CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. 7. GOLF TOURNAMENT WAS HELD BY MARLBOROUGH HOSPITAL, INC. 8. 125TH ANNIVERSARY EVENT WAS HELD BY CLINTON HOSPITAL ASSOCIATION |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,049,684 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,118,773 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,930,911 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00750 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $349,547,956 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $307,533,990 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,013,966 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02430 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,139,319 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,979,868 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $159,451 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $397,736,959 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $342,632,631 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $55,104,328 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03190 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,842,170 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,007,471 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,834,699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $206,454,967 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $109,759,749 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $96,695,218 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05600 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $103,394,362 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $84,456,325 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,938,037 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $104,967 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,700 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $77,267 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,740,983 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,740,983 | DirectOffsettingRevenueAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $316,537,449 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $198,992,228 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $117,545,221 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06810 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $714,274,408 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $541,624,859 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $172,649,549 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10000 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,953 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,953 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,094 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,094 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $61,732 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $61,732 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,779 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $69,779 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,783,144 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,756,653 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $371,254,776 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $374,468,928 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,214,152 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (16 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | |||
| PROVIDES INSURANCE | 1.00000 | 0.00000 | 0.00000 |
| 2 UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP | |||
| MANAGES POOLED INVESTMENTS | 1.00000 | 0.00000 | 0.00000 |
| 3 UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC | |||
| MAGNETIC RESONANCE IMAGING CENTER | 0.60000 | 0.00000 | 0.00000 |
| 4 UMASS MEMORIAL MRI OF MARLBOROUGH LLC | |||
| MAGNETIC RESONANCE IMAGING CENTER | 0.56000 | 0.00000 | 0.00000 |
| 5 MEMORIAL OFFICE CONDOMINIUM TRUST | |||
| CONDO ASSOCIATION THAT OWNS MEDICAL OFFICE BUILDING | 0.53690 | 0.00000 | 0.00000 |
| 6 UMASS MEMORIAL MRI & IMAGING CENTER LLC | |||
| MAGNETIC RESONANCE IMAGING CENTER | 0.50000 | 0.00000 | 0.00000 |
| 7 NEW ENGLAND REHAB SERVICES OF CENTRAL MA INC (DBA FAIRLAWN REHAB) | |||
| ACUTE CARE REHABILITATION CENTER | 0.20000 | 0.00000 | 0.00000 |
| 8 BIO LAB INC | |||
| CLINICAL LABORATORY | 1.00000 | 0.00000 | 0.00000 |
| 9 SHIELDS IMAGING OF MASSACHUSETTS LLC | |||
| MANAGEMENT COMPANY FOR PET IMAGING | 0.25000 | 0.00000 | 0.00000 |
| 10 UMASS MEMORIAL SHIELDS PHARMACY LLC | |||
| PHARMACY SERVICES | 0.50000 | 0.00000 | 0.00000 |
| 11 116 BELMONT STREET INC | |||
| CONDO ASSOCIATION | 0.63040 | 0.00000 | 0.00000 |
| 12 SHIELDS SPECIALTY PHARMACY OF SPRINGFIELD LLC | |||
| PHARMACY SERVICES | 0.50000 | 0.00000 | 0.00000 |
| 13 SPECIALTY PHARMACY OF NEWARK | |||
| PHARMACY SERVICES | 0.50000 | 0.00000 | 0.00000 |
| 14 QUEST DIAGNOSTICS MASSACHUSETTS LLC | |||
| LABORATORY SERVICES | 0.18900 | 0.00000 | 0.00000 |
| 15 CENTRAL MA COMPREHENSIVE CANCER CENTER LLC (DBA NE RADIATION THERAPY) | |||
| ONCOLOGY SERVICES | 0.05000 | 0.00000 | 0.00000 |
| 16 BIOVENTURES INVESTORS LIMITED PARTNERSHIP | |||
| MANAGES INVESTMENTS | 0.06000 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 4 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (4 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER INC | ||||||||||
| 1 | 55 LAKE AVE 119 BELMONT STREET | WORCESTER | MA | 01605 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| HEALTHALLIANCE HOSPITAL INC | ||||||||||
| 2 | 60 HOSPITAL ROAD | LEOMINSTER | MA | 01453 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||
| MARLBOROUGH HOSPITAL | ||||||||||
| 3 | 157 UNION STREET | MARLBOROUGH | MA | 01752 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||
| CLINTON HOSPITAL ASSOCIATION | ||||||||||
| 4 | 201 HIGHLAND STREET | CLINTON | MA | 01510 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit Other ActionsPermitOtherActionsInd | Collection ActivitiesCollectionActivitiesInd | Other ActionsOtherActionsInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | OtherOtherInd | Income Level CriteriaIncomeLevelCriteriaInd | Other CriteriaOtherCriteriaInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Other Actions TakenOtherActionsTakenInd |
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| UMASS MEMORIAL MEDICAL CENTER INC | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 14 | Yes (1) | 0 | Yes (1) | Yes (1) | Yes (X) | WWW.UMASSMEMORIALHEALTHCARE.ORG/ | Yes (X) | WWW.WORCESTERMA.GOV/ | Yes (X) | Yes (X) | Yes (1) | 14 | Yes (1) | WWW.UMASSMEMORIALHEALTHCARE.ORG/ | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 600.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | |||||
| HEALTHALLIANCE HOSPITAL INC | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 14 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTP://WWW.HEALTHALLIANCE.COM/ | Yes (X) | Yes (X) | Yes (1) | 14 | Yes (1) | HTTP://WWW.HEALTHALLIANCE.COM | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 600.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||||||||
| MARLBOROUGH HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTP://WWW.UMASSMEMORIALHEALTHCARE.ORG/MARLBOROUGH-HOSPITAL | Yes (X) | HTTP://WWW.MWHEALTH.ORG | Yes (X) | Yes (1) | 13 | Yes (1) | HTTP://WWW.UMASSMEMORIALHEALTHCARE.ORG/ABOUT-US/COMMUNITY-BENEFITS-PROGRAM/ | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 600.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | ||||||
| CLINTON HOSPITAL ASSOCIATION | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 14 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTP://WWW.CLINTONHOSPITAL.ORG | Yes (X) | HTTP://CHNA9.COM/INDEX.HTML | Yes (X) | Yes (X) | Yes (1) | 14 | Yes (1) | HTTP://WWW.CLINTONHOSPITAL.ORG | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 600.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | |||||
Supplemental Information SupplementalInformationGrp (42 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HEALTHALLIANCE HOSPITAL, INC. | PART V, SECTION B, LINE 3J: 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. |
| UMASS MEMORIAL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 5: 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 AND THE UMASS MEMORIAL VICE PRESIDENT OF COMMUNITY RELATIONS, AND FALLON HEALTH CO-CHAIRED THE LEADERSHIP PROCESS TO DEVELOP A CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR THE GREATER WORCESTER REGION. DURING THE ASSESSMENT PROCESS, COMMUNITY MEMBERS WERE ENGAGED IN KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND COMMUNITY DIALOGUES, WHICH ALLOWED FOR COMMUNITY MEMBERS TO REVIEW AND DISCUSS A PRELIMINARY PROFILE OF THE REGION AND PROVIDE THEIR FEEDBACK ON COMMUNITY HEALTH-RELATED STRENGTHS, NEEDS, AND A VISION FOR THE FUTURE. ELEVEN COMMUNITY DIALOGUE SESSIONS WERE HELD: FIVE SESSIONS IN WORCESTER, AND SIX IN THE OUTLYING COMMUNITIES (ONE EACH IN SHREWSBURY, GRAFTON, MILLBURY, WEST BOYLSTON, LEICESTER, AND HOLDEN). MORE THAN A TOTAL OF 1,777 INDIVIDUALS (INCLUDING PARTICIPANTS IN AN ONLINE COMMUNITY SURVEY) REPRESENTING DIVERSE INSTITUTIONS AND COMMUNITY ORGANIZATIONS FROM ACROSS THE REGION WORKED TOGETHER TO ESTABLISH A ROADMAP FOR THE FUTURE HEALTH OF THE REGION. THE PROCESS INCLUDED A STEERING COMMITTEE COMPRISED OF A DIVERSE NUMBER OF STAKEHOLDERS THAT ADVISED AND INFORMED THE CHNA. |
| HEALTHALLIANCE HOSPITAL, INC. | PART V, SECTION B, LINE 5: PARTICIPANTS INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE DRAWN FROM AMONG COMMUNITY-BASED, EDUCATIONAL, CIVIC, GOVERNMENTAL, AND FAITH-BASED PROFESSIONALS, HEALTH CARE PROVIDERS, AND OTHERS, AND EVERY EFFORT WAS MADE TO ENSURE RACIAL/ETHNIC, SOCIOECONOMIC, AND GEOGRAPHIC DIVERSITY IN THE COMPOSITION OF FOCUS GROUPS AND INTERVIEW PARTICIPANTS. |
| MARLBOROUGH HOSPITAL | PART V, SECTION B, LINE 5: 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. |
| CLINTON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 5: TARGET POPULATIONS FOR CLINTON HOSPITAL'S COMMUNITY BENEFITS INITIATIVES ARE IDENTIFIED THROUGH A COMMUNITY INPUT AND PLANNING PROCESS, COLLABORATIVE EFFORTS, AND A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH IS CONDUCTED EVERY THREE YEARS. CLINTON HOSPITAL COLLABORATES WITH 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 MASSACHUSETTS THROUGH COMMUNITY-BASED PREVENTION PLANNING AND HEALTH PROMOTION. OTHER PARTNERS INCLUDED; KEY STAKEHOLDERS IN HEALTH IMPROVEMENT: RESIDENTS, CONSUMERS, COALITIONS, COMMUNITIES OF FAITH, BUSINESSES, AND PROVIDERS OF COMMUNITY-BASED HEALTH, EDUCATION, HUMAN SERVICES AND LOCAL AND STATE GOVERNMENTS. |
| HEALTHALLIANCE HOSPITAL, INC. | PART V, SECTION B, LINE 6A: HEALTHALLIANCE HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT WITH HEYWOOD HELATHCARE (HEYWOOD HOSPITAL AND ATHOL HOSPITAL) |
| MARLBOROUGH HOSPITAL | PART V, SECTION B, LINE 6A: THE ASSESSMENT WAS DONE IN CONJUNCTION WITH THE METRO WEST MEDICAL CENTER. |
| CLINTON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 6A: CLINTON HOSPITAL COLLABORATED WITH TWO OTHER HOSPITALS IN CONDUCTING THE 2011 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 COMPLENTARY 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. |
| UMASS MEMORIAL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 6B: UMASS MEMORIAL CONDUCTED THE CHNA IN COLLABORATION WITH THE WORCESTER DIVISION OF PUBLIC HEALTH AND FALLON HEALTHADDITIONAL PARTNERS INCLUDED:YWCA OF CENTRAL MASOUTH EAST ASIAN COALITIONMARCH OF DIMESWORCESTER PUBLIC SCHOOLSFAMILY HEALTH CENTER OF WORCESTEREDWARD M. KENNEDY HEALTH CENTERUMASS MEDICAL SCHOOLWORCESTER POLICE DEPARTMENTWORCESTER SENIOR CENTERWORCESTER FOOD & ACTIVE LIVING POLICY COUNCILWALKBIKE WORCESTERREGIONAL ENVIRONMENTAL COUNCIL OF WORCESTERMA DEPARTMENT OF PUBLIC HEALTHUNITED WAY OF CENTRAL MACLARK UNIVERSITY MOSAKOWSKI INSTITUTE FOR PUBLIC ENTERPRISEWORCESTER REGIONAL RESEARCH BUREAU |
| HEALTHALLIANCE HOSPITAL, INC. | PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH INPUT FROM OUR COMMNUNITY PARTNERS; COMMUNITY HEALTH CONNECTIONS, HEYWOOD HEALTHCARE, ATHOL HOSPITAL, HEYWOOD HOSPITAL, THE JOINT COALITION ON HEALTH AND THE MONTACHUSETT PUBLIC HEALTH NETWORK. |
| MARLBOROUGH HOSPITAL | PART V, SECTION B, LINE 6B: THE ASSESSMENT WAS DONE IN CONJUNCTION WITH METROWEST HEALTH FOUNDATION, EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, AND SOUTHBOROUGH MEDICAL GROUP. |
| CLINTON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 6B: 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. |
| UMASS MEMORIAL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 7D: THE CHNA WAS PUBLICLY ANNOUNCED TO THE COMMUNITY AT A PUBLIC 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. |
| HEALTHALLIANCE HOSPITAL, INC. | PART V, SECTION B, LINE 7D: THE LAST 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://WWWW.UMASSMEMORIALHEALTHCARE.ORG/SITES/UMASS-MEMORIAL-HOSPITAL/FILES/DOCUMENTS/MEMBERS/5-21-15%20FINAL%20COMMUNITY_HEALTH_ASSESSMENT_OF_NORTH_CENTRAL_MA.PDF |
| CLINTON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 7D: CLINTON HOSPITAL ALSO UNVEILS THE COMMUNITY HEALTH ASSESSMENT TO COMMUNITY GROUPS, COMMUNITY ADVISORY COMMITTEE, AND TO THE HOSPITAL'S BOARD OF TRUSTEES. |
| UMASS MEMORIAL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 11: THE CHNA 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. FURTHERMORE, THE CHNA PROCESS HAS RESULTING IN THE DEVELOPMENT OF THE 2016 GREATER WORCESTER COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE HOSPITAL'S COMMUNITY BENEFIT IMPLEMENTATION STRATEGY HAS ALIGNMENT WITH THE CHNA/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 AREAS AND DUE TO LIMITED FUNDING. |
| HEALTHALLIANCE HOSPITAL, INC. | PART V, SECTION B, LINE 11: 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. |
| MARLBOROUGH HOSPITAL | PART V, SECTION B, LINE 11: 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 2013 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. THE HOSPITAL IS NOT CURRENTLY ADDRESSING ALL CHRONIC CONDITIONS DUE TO LIMITED RESOURCES. |
| CLINTON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 11: 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, A 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 EVERY PRIORITY HEALTH NEED IDENTIFIED, WHICH MAKES COLLABORATION WITH COMMUNITY ASSETS CRITICAL. |
| HEALTHALLIANCE HOSPITAL, INC. | PART V, SECTION B, LINE 13H: FINANCIAL ASSISTANCE - HAH 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. |
| UMASS MEMORIAL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 16I: 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. |
| HEALTHALLIANCE HOSPITAL, INC. | PART V, SECTION B, LINE 16I: 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. |
| MARLBOROUGH HOSPITAL | PART V, SECTION B, LINE 16I: 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. |
| CLINTON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 16I: 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. |
| UMASS MEMORIAL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 18D: 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 BASES. WE ALSO SEND STATEMENTS AND MAKE PHONE CALLS. |
| HEALTHALLIANCE HOSPITAL, INC. | PART V, SECTION B, LINE 18D: POLICY ON LIENS-NO LIENS WILL BE INITIATED AGAINST A PATIENT'S PRIMARY RESIDENCE OR MOTOR VEHICLE WITHOUT WRITTEN APPROVAL FROM HEALTHALLIANCE'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. |
| MARLBOROUGH HOSPITAL | PART V, SECTION B, LINE 18D: 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. |
| CLINTON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 18D: 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 BASES. WE ALSO SEND STATEMENTS AND MAKE PHONE CALLS. |
| UMASS MEMORIAL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 19D: 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. |
| HEALTHALLIANCE HOSPITAL, INC. | PART V, SECTION B, LINE 19D: HEALTHALLIANCE HOSPITAL 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. |
| MARLBOROUGH HOSPITAL | PART V, SECTION B, LINE 19D: 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. |
| CLINTON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 19D: 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. |
| HEALTHALLIANCE HOSPITAL, INC. | PART V, SECTION B, LINE 20E: 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. |
| UMASS MEMORIAL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT. ONCE A PATIENT IS DETERMINED ELIGIBLE FOR A DISCOUNT, THIS DISCOUNT IS APPLIED TO TOTAL CHARGES AND THE PATIENT RESPONSIBILITY IS REDUCED. |
| HEALTHALLIANCE HOSPITAL, INC. | PART V, SECTION B, LINE 22D: HEALTHALLIANCE 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. |
| MARLBOROUGH HOSPITAL | PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT. |
| CLINTON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT. ONCE A PATIENT IS DETERMINED ELIGIBLE FOR A DISCOUNT, THE DISCOUNT IS APPLIED TO TOTAL CHARGES AND THE PATIENT RESPONSIBILITY IS REDUCED. |
| UMASS MEMORIAL MEDICAL CENTER, INC. | PART V, SECTION B, LINE 24: 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. |
| HEALTHALLIANCE HOSPITAL, INC. | PART V, SECTION B, LINE 24: HEALTHALLIANCE 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. |
| MARLBOROUGH HOSPITAL | PART V, SECTION B, LINE 24: 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. |
| CLINTON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 24: 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. |
| PART V LINE 7A & 7B | UMASS MEMORIAL MEDICAL CENTER:YES, THE CHNA WAS POSTED ON THE HOSPITAL WEBSITE AND THE WORCESTER DIVISION OF PUBLIC HEALTH WEBSITE: (NOTE: THE FULL URLS INDICATED BELOW DID NOT FIT IN THEIR ENTIRETY ON THE UMASS MEMORIAL MEDICAL CENTER SCHEDULE H FORM).HOSPITAL WEBSITE: HTTP://WWW.UMASSMEMORIALHEALTHCARE.ORG/SITES/UMASS-MEMORIAL-HOSPITAL/FILES/DOCUMENTS/ABOUT/UMASS_MEMORIAL_CBI_MEASURES-CHAFINAL.PDFWORCESTER DIVISION OF PUBLIC HEALTH WEBSITE: HTTP://WWW.WORCESTERMA.GOV/UPLOADS/E3/8B/E38B32C7D4A96243C9C48BBD3250B00E/CHA-REPORT.PDFCLINTON HOSPITAL:YES, CLINTON HOSPITAL MAKES THE CHNA REPORT WIDELY AVAILABLE TO THE PUBLIC AND IT IS POSTED ON THE HOSPITAL'S WEBSITE:HTTP://WWW.UMASSMEMORIALHEALTHCARE.ORG/CLINTON-HOSPITAL/ABOUT-USTHE COMMUNITY BENEFITS REPORT IS ALSO POSTED ON THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH'S COMMUNITY NETWORK AREA OF NORTH CENTRAL, LINK:HTTP://WWW.CI.FITCHBURG.MA.US/GOVERNMENT/DEPARTMENTS/HEALTH/MPHN-PAGE/AND THE JOINT COALITION ON HEALTH (JCOH) WEBSITES WITH AVAILABILITY UPON REQUEST BY ANY OF THE ORGANIZATIONS MENTIONED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| UMASS MEMORIAL MED CENTER (LAB SVCS) | ||||
| BIOTECH ONE 365 PLANTATION STREET | WORCESTER | MA | 01605 | SATELLITE - LAB SERVICES |
| UMASS MEMORIAL MED CENTER (PATHOLOGY) | ||||
| BIOTECH THREE ONE INNOVATION DRIVE | WORCESTER | MA | 01605 | SATELLITE - PATHOLOGY |
| UMASS MEMORIAL MED CENTER AMBULANCE | ||||
| 23 WELLS STREET | WORCESTER | MA | 01604 | SATELLITE - AMBULATORY SERVICES |
| UMASS MEMORIAL MED CENTER | ||||
| 100 PROVIDENCE STREET | WORCESTER | MA | 01604 | SATELLITE - AMBULATORY SERVICES |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I OTHER - 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. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | UMASS MEMORIAL MEDICAL CENTER: UMMC RECOGNIZES THE 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 STATE OF COMPLETE, PHYSICAL, MENTAL AND SOCIAL WELL BEING AND NOT MERELY THE ABSENCE OF DISEASE." BY ADOPTING THIS DEFINITION, UMASS MEMORIAL MEDICAL CENTER HAS EXPANDED ITS STRATEGY TO INCLUDE THE SOCIAL AND ECONOMIC OBSTACLES THAT PREVENT PEOPLE FROM ACHIEVING OPTIMAL HEALTH. ALL OF OUR COMMUNITY BUILDING ACTIVITIES ARE THE RESULT OF AN IDENTIFIED NEED AND ENGAGE THE COMMUNITY. THEY INCLUDE COLLABORATIVE EFFORTS, ADVOCACY ACTIVITIES AND PARTNERSHIPS THAT ENGAGE A BROAD ARRAY OF COMMUNITY STAKEHOLDERS IN ADDRESSING THESE UNMET SOCIAL DETERMINANTS OF HEALTH.COMMUNITY BUILDING ACTIVITY EXAMPLES INCLUDE: FUNDING AND PROMOTING WORKFORCE AND HEALTH CAREER DEVELOPMENT OPPORTUNITIES FOR INNER-CITY YOUTH.HEALTHALLIANCE HOSPITAL: 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 HANDS ON PRACTICE AND OBSERVATION. FOR COMMUNITY SUPPORT, COMMUNITY EMERGENCY PREPAREDNESS AND DRILLS ARE CONDUCTED IN COLLABORATION WITH THE LEOMINSTER AND FITCHBURG FIRE DEPARTMENTS AND MEDSTAR EMS.MARLBOROUGH HOSPITAL: MARLBOROUGH HOSPITAL PROVIDES ASSISTANCE TO COGNITIVELY CHALLENGED POST GRAD STUDENTS AGED 18 TO 22 BY HELPING THEM GAIN WORK/LIFE SKILLS TO ASSIST THEM IN THEIR TRANSITION FROM A SCHOOL ENVIRONMENT TO A WORK AND COMMUNITY SETTING. ADDITIONALLY, DISADVANTAGED STUDENTS, INCLUDING BOTH ECONOMICALLY OR DISENGAGED YOUTH AT RISK, LEARN THE TOOOLS TO OVERCOME BARRIERS AND MOVE INTO SELF SUSTAINING EMPLOYMENT IN SECTORS OF THE ECONOMY WHERE THERE IS A NEED.CLINTON HOSPITAL: CLINTON HOSPITAL IS WORKING TO ADDRESS BASIC, SOCIAL AND PERSONAL NEEDS AS A WAY TO IMPROVE THEIR COMMUNITIES' HEALTH. 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. |
| PART III, LINE 8: | 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. |
| PART III, LINE 9B: | EXEMPTION FROM SELF-PAY BILLING AND COLLECTION ACTION - THE ORGANIZATION WILL NOT INITIATE SELF-PAY BILLING AND COLLECTION ACTIVITY:A. UPON SUFFICIENT PROOF THAT A PATIENT IS A RECIPIENT OF EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN (EAEDC), OR ENROLLED IN THE HEALTH SAFETY NET (HSNO) OR MASSHEALTH, HEALTHY START, OR THE CHILDREN'S MEDICAL SECURITY PLAN WHOSE FAMILY INCOME IS EQUAL OR LESS THAN 400% OF THE FPL, WITH THE EXCEPTION OF CO-PAYS AND DEDUCTIBLES REQUIRED UNDER THE PROGRAM OF ASSISTANCE.B. IF 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.C. FOR MEDICAL HARDSHIP BILLS THAT EXCEED THE MEDICAL HARDSHIP CONTRIBUTION.D. UNLESS UMMMC HAS CHECKED THE EVS SYSTEM TO DETERMINE IF THE PATIENT HAS FILED AN APPLICATION FOR MASSHEALTH.E. FOR PARTIAL HEALTH SAFETY NET ELIGIBLE PATIENTS, WITH THE EXCEPTION OF ANY DEDUCTIBLES REQUIRED.NOTE: THE ORGANIZATION 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. |
| PART V, SECTION B, LINE 9: | UMASS MEMORIAL MEDICAL CENTER, INC.UMMCI MOST RECENTLY ADOPTED AN IMPLEMENTATION STRATEGY IN APRIL 2016, EFFECTIVELY DURING THE 2015 FISCAL TAX YEAR. HOWEVER, THIS IS NOT AN ALLOWED RESPONSE FOR E-FILING PURPOSES, AS SUCH 2014 HAS BEEN ENTERED AS A RESPONSE ON THIS LINE. |
| PART VI, LINE 2: | UMASS MEMORIAL MEDICAL CENTER COMPLETED ITS COMMUNITY HEALTH NEEDS ASSESSMENT 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 HOSPITALS 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 FIVE IDENTIFIED PRIORITY CHIP DOMAIN AREAS AND DUE TO LIMITED FUNDING. THE FOLLOWING STRATEGIES ARE 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 AREASTHE 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:THE COMMUNITY HEALTH NEEDS ASSESSMENT 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: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. THE ASSESSMENT WAS COMPLETED IN CONJUNCTION WITH THE METROWEST HEALTH FOUNDATION, EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, BOARDS OF HEALTH FROM MARLBOROUGH AND HUDSON AND THE SOUTHBOROUGH MEDICAL GROUP.CLINTON HOSPITAL:CLINTON HOSPITAL CONDUCTED A COMMUNITY HEALTH ASSESSMENT (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 MONTACHUSETTS PUBLIC HEALTH NETWORK (MPHN) IS A COLLABORATIVE 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 STATE 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 (CHNA9) IS ONE OF 17 CHNAS ACCROSS 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. |
| PART VI, LINE 4: | GEOGRAPHICAL REACH: THE 2015 COMMUNITY HEALTH ASSESSMENT (CHA) 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 INTITIATIVE, 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 2005-2009 (SOURCE: U.S. CENSUS 2010 AND 2010 AMERICAN COMMUNITY SURVEY 1-YEAR ESTIMATES, U.S. CENSUS). THE UNEMPLOYMENT RATE IN WORCESTER COUNTY RANGED BETWEEN 9.3 IN JANUARY 2011 AND 7.2 IN DECEMBER 2011 (SOURCE: MASSACHUSETTS EXECUTIVE OFFICE OF LABOR WORKFORCE AND DEVELOPMENT). 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 (SOURCE: 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 WORCESTERS 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 INCLUDED FOR THE FIRST TIME IN THIS REPORT AND EXCLUDING SIX (6) CITIES AND TOWNS REPRESENTED IN PRIOR REPORTS: BARRE, BERLIN, HARDWICK, NEW BRAINTREE, OAKHAM, AND RUTLAND.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: BETWEEN 2000 AND 2011, MARLBOROUGH EXPERIENCED THE GREATEST POPULATION INCREASED FROM 36,255 TO 38,087 (5.1%), NEARLY TWICE AS LARGE OF A PERCENT CHANGE AT THE STATE LEVEL (2.6%). HUDSON'S POPULATION ALSO EXCEEDED THE STATE'S AT 4.0%. IN TERMS OF AGE DISTRIBUTION, MOST OF MARLBOROUGH'S POPULATION WAS BETWEEN THE AGES OF 25 TO 44 YEARS OLD (32.4%) WHILE HUDSON'S POPULATION HAD THE GREATEST PERCENT BETWEEN 45 TO 64 YEARS OLD (29.7%). QUANTITATIVE DATA ALSO ILLUSTRATE THAT JUST OVER THREE-FOURTHS OF THE MASSACHUSETTS POPULATION IS WHITE (76.9%) WHICH WAS LARGELY CONSISTENT WITH MARLBOROUGH (79.2%). BOTH AT THE STATE LEVEL AND IN MARLBOROUGH, THE HISPANIC POPULATION WAS THE NEXT LARGEST RACIAL/ETHNIC GROUP (9.3% AND 9.2%, RESPECTIVELY). HUDSON'S POPULATION FOLLOWED A SIMILAR PATTERN, THE PROPORTION OF ITS POPULATION THAT IDENTIFIED AS WHITE WAS EVEN LARGER (90.5%). 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. |
| PART VI, LINE 5: | 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 BREAST AND LUNG CANCER, CHRONIC OCCLUSIVE PULMONARY DISEASE (COPD), HEART HEALTH, DEPRESSION, DIABETES AND MENTAL/BEHAVIORAL HEALTH. THE PRIMARY DRIVING FORCE BEHIND THE 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 GROPUS 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 OUTLINES 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. |
| PART VI, LINE 6: | UMASS MEMORIAL MEDICAL CENTER IS PART OF THE UMASS MEMORIAL HEALTH CARE SYSTEM (FOUR HOSPITALS TOTAL IN CENTRAL MASSACHUSETTS). EACH HOSPITAL HAS DESIGNATED COMMUNITY BENEFITS STAFF TO WORK WITH THEIR RESPECTIVE LOCAL COMMUNITIES. EACH HOSPITAL IS RESPONSIBLE FOR DEVELOPING THEIR OWN COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH LOCAL COMMUNITY STAKEHOLDERS AND DEVELOPS A COMMUNITY BENEFIT IMPLEMENTATION STRATEGY FOR THEIR RESPECTIVE COMMUNITY. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MA |
| PART VI LINE 7 | YES, ALL FOUR HOSPITALS FILE INDIVIDUAL COMMUNITY BENEFIT REPORTS WITH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC | |||||||
| 650 LINCOLN STREET | WORCESTER | MA | 01605 | 042513817 | 501(C)(3) | $1,000,000 | SUPPORT FOR HEALTH CENTER'S MISSION |
| FAMILY HEALTH CENTER OF WORCESTER INC | |||||||
| 26 QUEEN STREET | WORCESTER | MA | 01610 | 042485308 | 501(C)(3) | $1,000,000 | SUPPORT FOR HEALTH CENTER'S MISSION |
| UNIVERSITY OF MA MEDICAL SCHOOL | |||||||
| 55 LAKE AVE N | WORCESTER | MA | 01655 | 043167352 | 501(C)(3) | $200,000 | MUSCULOSKELETAL CENTER OF EXCELLENCE GRANT |
| UNIVERSITY OF MA MEDICAL SCHOOL | |||||||
| 55 LAKE AVE N | WORCESTER | MA | 01655 | 043167352 | 501(C)(3) | $50,000 | INTERVENTIONAL NEURORADIOLOGY RESEARCH |
| UNIVERSITY OF MA MEDICAL SCHOOL | |||||||
| 55 LAKE AVE N | WORCESTER | MA | 01655 | 043167352 | 501(C)(3) | $22,580 | COMPLEX AORTIC ANEURYSM REPAIR STUDY |
| UNIVERSITY OF MA MEDICAL SCHOOL | |||||||
| 55 LAKE AVE N | WORCESTER | MA | 01655 | 043167352 | 501(C)(3) | $2,000,000 | ACADEMIC CHAIR FUNDING |
| QCC FOUNDATION INC | |||||||
| 670 WEST BOYLSTON STREET | WORCESTER | MA | 01606 | 042897624 | 501(C)(3) | $5,000 | ANNIVERSARY SPONSORSHIP |
| UNIVERSITY OF MA MEDICAL SCHOOL | |||||||
| 55 LAKE AVE N | WORCESTER | MA | 01655 | 043167352 | 501(C)(3) | $5,000 | SPONSORSHIP OF SEED SYMPOSIUM |
| COMMUNITY HEALTHLINK | |||||||
| 72 JACQUES AVE | WORCESTER | MA | 01610 | 042626179 | 501(C)(3) | $6,500 | SPONSORSHIP FAMILY FUN FEST & "LISTEN IN" EVENT |
| CLINTON HOSPITAL | |||||||
| 201 HIGHLAND STREET | CLINTON | MA | 01510 | 041185520 | 501(C)(3) | $33,125 | 125TH MATCH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| INTERNSHIPS | 34 | $69,298 |
| SPONSORSHIPS | 16 | $28,550 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I, PART I LINE 2: | FormAndLineReferenceDesc |
| Explanation | PART I LINE 2: 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 WILL DOCUMENT THE RE-EVALUATION CONTEMPORANEOUSLY. PART I LINE 2: MEDICAL CENTER: AS PART OF THE FUNDING 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. PART I LINE 2: MEDICAL CENTER: RESEARCH GRANTS WILL BE FUNDED ANNUALLY, FOLLOWING ANNUAL UPDATES PROVIDED BY THE DIVISION DIRECTOR AND/OR DEPARTMENT CHAIR TO THE SENIOR VICE PRESIDENT OF OPERATIONS RESPONSIBLE FOR THE RADIOLOGY DEPARTMENT AND THE INTERVENTIONAL NEURORADIOLOGY DIVISION. PART I LINE 2: 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. PART II LINE 1(H): 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. PART II LINE 1(H): MEDICAL CENTER: 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. PART II LINE 1(H): MEDICAL CENTER: THIS GRANT ALLOWS THE MEDICAL SCHOOL TO RECEIVE A THREE YEAR RESEARCH GRANT FOR START UP FUNDING RESEARCH UNDER THE DIRECTOR OF THE MEDICAL SCHOOL'S DIVISION DIRECTOR FOR INTERVENTIONAL NEURORADIOLOGY. PART II LINE 1(H): MEDICAL CENTER: 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. PART I LINE 2: HEALTHALLIANCE HOSPITALS, INC.: PRIOR TO THE DISTRIBUTION OF ANY AND ALL SCHOLARSHIP/INTERNSHIP FUNDS, HEALTHALLIANCE REQUIRES VERIFICATION OF PROGRAM ENROLLMENT FROM ALL RECIPIENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (74 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALFRED HOWARD MD | ||||||||||||||
| DIRECTOR, UMM ACO, INC. | $237,821 | $0 | $10,327 | $0 | $0 | $0 | $18,536 | $0 | $12,114 | $0 | $278,798 | $0 | $0 | $0 |
| BAGLEY PETER MD | ||||||||||||||
| DIRECTOR, UMM ACO, INC. | $237,823 | $0 | $116,920 | $0 | $0 | $0 | $92,512 | $0 | $28,594 | $0 | $475,849 | $0 | $0 | $0 |
| BROWN ALAN P MD | ||||||||||||||
| SECRETARY, UMMHC, INC., DIRECTOR VAR | $170,318 | $0 | $23,100 | $0 | $0 | $0 | $10,064 | $0 | $24,673 | $0 | $228,155 | $0 | $0 | $0 |
| CARLUCCI DANIEL MD | ||||||||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | $287,163 | $0 | $22,669 | $0 | $0 | $0 | $13,000 | $0 | $28,594 | $0 | $351,426 | $0 | $0 | $0 |
| COFONE MICHAEL J | ||||||||||||||
| TREASURER/DIRECTOR, COORDINATED PRIM | $294,265 | $0 | $70,675 | $0 | $2,864 | $0 | $7,800 | $0 | $29,925 | $0 | $405,529 | $0 | $0 | $0 |
| CORBETT WILLIAM MD | ||||||||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | $318,625 | $0 | $104,564 | $0 | $30,800 | $0 | $142,507 | $0 | $21,773 | $0 | $618,269 | $0 | $30,800 | $0 |
| DALY SHEILA | ||||||||||||||
| PRESIDENT, CLINTON HOSPITAL ASSOC., | $205,300 | $0 | $77,964 | $0 | $0 | $0 | $33,757 | $0 | $11,110 | $0 | $328,131 | $0 | $0 | $0 |
| DICKSON ERIC W MD | ||||||||||||||
| PRESIDENT & CEO/DIRECTOR, UMM HEALTH | $773,029 | $0 | $520,000 | $0 | $40,695 | $0 | $230,517 | $0 | $40,127 | $0 | $1,604,368 | $0 | $38,913 | $0 |
| DUNCAN DAVID | ||||||||||||||
| DIRECTOR UNTIL 8/3/15, COORDINATED P | $167,076 | $0 | $28,474 | $0 | $819 | $0 | $6,940 | $0 | $23,724 | $0 | $227,033 | $0 | $0 | $0 |
| EISENSTOCK JORDAN MD | ||||||||||||||
| DIRECTOR, UMM ACO, INC. | $164,454 | $0 | $16,357 | $0 | $5,065 | $0 | $9,586 | $0 | $23,309 | $0 | $218,771 | $0 | $5,065 | $0 |
| FAIRCHILD DAVID MD | ||||||||||||||
| PRESIDENT/DIRECTOR, UMM ACO, INC. | $378,547 | $0 | $97,060 | $0 | $36,936 | $0 | $94,041 | $0 | $9,575 | $0 | $616,159 | $0 | $36,936 | $0 |
| FERGUSON R KEVIN MD | ||||||||||||||
| DIRECTOR, UMM MED GROUP, INC. | $217,960 | $0 | $53,694 | $0 | $6,036 | $0 | $13,000 | $0 | $24,521 | $0 | $315,211 | $0 | $6,036 | $0 |
| FINBERG ROBERT W MD | ||||||||||||||
| DIRECTOR, UMM HEALTH CARE, INC. | $251,386 | $0 | $49,354 | $0 | $15,015 | $0 | $101,571 | $0 | $31,094 | $0 | $448,420 | $0 | $15,015 | $0 |
| GOTTLIEB PHILIP D MD | ||||||||||||||
| DIRECTOR UNTIL 12/13, CLINTON HOSPIT | $230,340 | $0 | $134,444 | $0 | $8,126 | $0 | $13,000 | $0 | $24,761 | $0 | $410,671 | $0 | $8,126 | $0 |
| HARLAN DAVID MD | ||||||||||||||
| DIRECTOR, UMM ACO, INC. | $148,056 | $0 | $33,000 | $0 | $0 | $0 | $9,415 | $0 | $25,330 | $0 | $215,801 | $0 | $0 | $0 |
| KENNEDY KATHRYN MD | ||||||||||||||
| DIRECTOR, UMM MED GROUP, INC. | $227,786 | $0 | $61,370 | $0 | $0 | $0 | $13,000 | $0 | $28,588 | $0 | $330,744 | $0 | $0 | $0 |
| LAPRIORE CHERYL M | ||||||||||||||
| PRESIDENT/DIRECTOR, UMM HEALTH VENT | $244,120 | $0 | $94,804 | $0 | $30,636 | $0 | $100,910 | $0 | $22,598 | $0 | $493,068 | $0 | $30,636 | $0 |
| LASSER DANIEL H MD | ||||||||||||||
| DIRECTOR, UMM MED GROUP, INC. | $207,486 | $0 | $29,457 | $0 | $23,638 | $0 | $56,027 | $0 | $27,101 | $0 | $343,709 | $0 | $23,638 | $0 |
| MESSINA LOUIS MD | ||||||||||||||
| DIRECTOR UNTIL 3/14, UMM MED GROUP, | $520,117 | $0 | $77,369 | $0 | $0 | $0 | $13,789 | $0 | $28,102 | $0 | $639,377 | $0 | $0 | $0 |
| METZMAKER JEFFREY N MD | ||||||||||||||
| DIRECTOR, UMM MED GROUP, INC. | $305,811 | $0 | $119,500 | $0 | $0 | $0 | $13,000 | $0 | $26,061 | $0 | $464,372 | $0 | $0 | $0 |
| MULDOON PATRICK | ||||||||||||||
| PRESIDENT, UMM MED CTR, INC., | $579,577 | $0 | $258,750 | $0 | $31,239 | $0 | $267,751 | $0 | $27,960 | $0 | $1,165,277 | $0 | $31,239 | $0 |
| NOMPLEGGI DOMINIC MD | ||||||||||||||
| DIRECTOR, UMM MED GROUP, INC. | $222,270 | $0 | $120,436 | $0 | $0 | $0 | $13,000 | $0 | $30,154 | $0 | $385,860 | $0 | $0 | $0 |
| OKIKE O NSIDINANYA MD | ||||||||||||||
| DIRECTOR, UMM HEALTH CARE, INC. | $425,028 | $0 | $90,569 | $0 | $19,250 | $0 | $13,000 | $0 | $27,943 | $0 | $575,790 | $0 | $19,250 | $0 |
| O'LEARY DANIEL MD | ||||||||||||||
| DIRECTOR, COORDINATED PRIMARY CARE, | $166,973 | $0 | $20,466 | $0 | $1,521 | $0 | $3,340 | $0 | $4,333 | $0 | $196,633 | $0 | $0 | $0 |
| PHILBIN CHRIS | ||||||||||||||
| DIRECTOR, UMASS MEMORIAL COMMUNITY H | $189,880 | $0 | $40,000 | $0 | $0 | $0 | $24,558 | $0 | $25,132 | $0 | $279,570 | $0 | $0 | $0 |
| ROACH STEVEN | ||||||||||||||
| PRESIDENT/DIRECTOR, MARLBOROUGH HOSP | $328,968 | $0 | $128,646 | $0 | $0 | $0 | $41,706 | $0 | $23,694 | $0 | $523,014 | $0 | $0 | $0 |
| ROSEN MAX P MD | ||||||||||||||
| DIRECTOR, CMMIC, INC. | $377,877 | $0 | $29,460 | $0 | $0 | $0 | $13,000 | $0 | $3,840 | $0 | $424,177 | $0 | $0 | $0 |
| ROSSI CATHERINE | ||||||||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATI | $172,552 | $0 | $36,000 | $0 | $0 | $0 | $25,467 | $0 | $22,262 | $0 | $256,281 | $0 | $0 | $0 |
| SIOUFI HABIB A MD | ||||||||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATI | $199,247 | $0 | $0 | $0 | $8,319 | $0 | $10,719 | $0 | $23,904 | $0 | $242,189 | $0 | $8,319 | $0 |
| SWENSON DANA E | ||||||||||||||
| PRESIDENT/DIRECTOR, UMM REALTY, INC. | $235,564 | $0 | $60,735 | $0 | $0 | $0 | $124,837 | $0 | $21,773 | $0 | $442,909 | $0 | $0 | $0 |
| TOSI STEPHEN E MD | ||||||||||||||
| PRESIDENT, UMM MED GROUP, INC., DIRE | $614,181 | $0 | $281,303 | $0 | $353,780 | $0 | $259,762 | $0 | $28,605 | $0 | $1,537,631 | $0 | $353,780 | $0 |
| ZIEDONIS DOUGLAS MD | ||||||||||||||
| PRESIDENT/DIRECTOR, UMBHS, INC. | $199,796 | $0 | $27,900 | $0 | $0 | $0 | $11,905 | $0 | $28,594 | $0 | $268,195 | $0 | $0 | $0 |
| BOLLAND ESHGHI KATHARINE | ||||||||||||||
| ASSISTANT SECRETARY, UMMHC, INC. | $295,192 | $0 | $73,588 | $0 | $24,719 | $0 | $71,413 | $0 | $23,598 | $0 | $488,510 | $0 | $24,719 | $0 |
| BRONHARD JOHN | ||||||||||||||
| TREASURER, CNEHA, INC. | $181,856 | $0 | $25,943 | $0 | $10,646 | $0 | $4,601 | $0 | $6,790 | $0 | $229,836 | $0 | $0 | $0 |
| BROWN DOUGLAS S | ||||||||||||||
| SECRETARY, UMM HEALTH CARE, INC. | $443,477 | $0 | $396,974 | $0 | $44,821 | $0 | $225,532 | $0 | $22,598 | $0 | $1,133,402 | $0 | $44,821 | $0 |
| COCCHIARELLA ANDREW MD | ||||||||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | $197,022 | $0 | $117,950 | $0 | $0 | $0 | $13,000 | $0 | $25,305 | $0 | $353,277 | $0 | $0 | $0 |
| EKSTROM DEBORAH | ||||||||||||||
| PRESIDENT, COMMUNITY HEALTHLINK, INC | $193,355 | $0 | $50,131 | $0 | $16,552 | $0 | $93,352 | $0 | $25,785 | $0 | $379,175 | $0 | $15,608 | $0 |
| GREENWOOD JOHN | ||||||||||||||
| TREASURER, UMM ACO, INC. | $213,448 | $0 | $44,000 | $0 | $16,119 | $0 | $82,830 | $0 | $21,453 | $0 | $377,850 | $0 | $16,119 | $0 |
| KEATING TODD A | ||||||||||||||
| TREASURER UNTIL 2/14, UMM HEALTH CAR | $91,987 | $0 | $0 | $0 | $1,098,018 | $0 | $147,144 | $0 | $1,926 | $0 | $1,339,075 | $0 | $1,098,018 | $0 |
| MCCUE STEVEN | ||||||||||||||
| TREASURER, MARLBOROUGH HOSPITAL | $175,880 | $0 | $19,328 | $0 | $0 | $0 | $23,654 | $0 | $20,986 | $0 | $239,848 | $0 | $0 | $0 |
| MELGAR SERGIO | ||||||||||||||
| TREASURER, UMASS MEMORIAL HEALTH CAR | $560,318 | $0 | $285,000 | $0 | $11,937 | $0 | $59,208 | $0 | $29,966 | $0 | $946,429 | $0 | $0 | $0 |
| O'BRIEN WILLIAM | ||||||||||||||
| SECRETARY, UMBHS, INC. | $117,117 | $0 | $7,642 | $0 | $0 | $0 | $33,517 | $0 | $25,132 | $0 | $183,408 | $0 | $0 | $0 |
| OLSON JEFFREY | ||||||||||||||
| TREASURER, CLINTON HOSPITAL ASSOC. | $139,702 | $0 | $16,170 | $0 | $0 | $0 | $35,085 | $0 | $23,762 | $0 | $214,719 | $0 | $0 | $0 |
| SHAKMAN ALICE | ||||||||||||||
| PRESIDENT, CMMIC, INC. | $253,236 | $0 | $64,081 | $0 | $24,782 | $0 | $147,863 | $0 | $8,754 | $0 | $498,716 | $0 | $24,782 | $0 |
| SMITH FRANCIS W | ||||||||||||||
| CLERK, UMM HEALTH VENTURES, INC. | $187,014 | $0 | $15,867 | $0 | $0 | $0 | $50,459 | $0 | $25,951 | $0 | $279,291 | $0 | $0 | $0 |
| STREETER MICHELE | ||||||||||||||
| TREASURER, UMM MED GROUP, INC. | $389,263 | $0 | $178,200 | $0 | $26,031 | $0 | $224,630 | $0 | $24,159 | $0 | $842,283 | $0 | $26,031 | $0 |
| SZYMANSKI CANDRA D | ||||||||||||||
| INTERIM PRESIDENT UNTIL 12/13, MARLB | $90,876 | $0 | $0 | $0 | $99,808 | $0 | $12,383 | $0 | $1,138 | $0 | $204,205 | $0 | $88,494 | $0 |
| WEYMOUTH DEBORAH | ||||||||||||||
| PRESIDENT, CENTRAL NEW ENGLAND HEALT | $193,633 | $0 | $30,000 | $0 | $0 | $0 | $297 | $0 | $6,118 | $0 | $230,048 | $0 | $0 | $0 |
| ANDERSON MILTON | ||||||||||||||
| SR. VP, CHIEF HR OFFICER UNTIL 9/14 | $278,569 | $0 | $188,883 | $0 | $304,011 | $0 | $369,884 | $0 | $18,215 | $0 | $1,159,562 | $0 | $304,011 | $0 |
| BRENCKLE GEORGE PHD | ||||||||||||||
| SR. VP, CIO UNTIL 4/14 | $110,652 | $0 | $0 | $0 | $408,888 | $0 | $340,242 | $0 | $9,561 | $0 | $869,343 | $0 | $408,888 | $0 |
| CYR JAMES P | ||||||||||||||
| SR VP, HEART AND VASCULAR DISEASES | $241,332 | $0 | $62,636 | $0 | $17,956 | $0 | $162,807 | $0 | $22,598 | $0 | $507,329 | $0 | $17,956 | $0 |
| DAY THERESE | ||||||||||||||
| VP, FINANCE / CFO OF MED CENTER | $273,845 | $0 | $70,628 | $0 | $27,201 | $0 | $156,689 | $0 | $22,598 | $0 | $550,961 | $0 | $27,201 | $0 |
| DIAMOND VICTORIA | ||||||||||||||
| SR. VP, OPERATIONS, UNTIL 1/14 | $36,051 | $0 | $0 | $0 | $386,939 | $0 | $138,442 | $0 | $3,885 | $0 | $565,317 | $0 | $386,939 | $0 |
| FELDMANN ROBERT | ||||||||||||||
| VP, CORPORATE CONTROLLER | $258,169 | $0 | $64,609 | $0 | $0 | $0 | $152,358 | $0 | $1,951 | $0 | $477,087 | $0 | $0 | $0 |
| FISHER BARBARA | ||||||||||||||
| SR VP, OPERATIONS | $251,672 | $0 | $64,915 | $0 | $63,026 | $0 | $130,815 | $0 | $21,773 | $0 | $532,201 | $0 | $63,026 | $0 |
| GEORGE PATRICIA | ||||||||||||||
| VP & DEPUTY CIO | $18,466 | $0 | $0 | $0 | $0 | $0 | $339,530 | $0 | $566 | $0 | $358,562 | $0 | $0 | $0 |
| HUDLIN MARGARET MD | ||||||||||||||
| CHIEF MED OFFICER/VP PERIOPERATIVE S | $338,331 | $0 | $87,500 | $0 | $9,339 | $0 | $43,750 | $0 | $25,132 | $0 | $504,052 | $0 | $9,339 | $0 |
| HYLKA SHARON | ||||||||||||||
| SR. VP, HOSPITAL ADMIN UNTIL 1/14 | $94,281 | $0 | $0 | $0 | $877,323 | $0 | $263,324 | $0 | $7,382 | $0 | $1,242,310 | $0 | $877,323 | $0 |
| JEWELL CATHY | ||||||||||||||
| SR VP, CHIEF NURSING OFFICER | $217,068 | $0 | $13,418 | $0 | $0 | $0 | $24,981 | $0 | $22,598 | $0 | $278,065 | $0 | $0 | $0 |
| RANDOLPH JOHN | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | $199,185 | $0 | $51,633 | $0 | $0 | $0 | $93,732 | $0 | $24,598 | $0 | $369,148 | $0 | $0 | $0 |
| TARNOWSKI TIMOTHY | ||||||||||||||
| SR VP, CHIEF INFO OFFICER | $37,456 | $0 | $45,000 | $0 | $0 | $0 | $0 | $0 | $1,461 | $0 | $83,917 | $0 | $0 | $0 |
| THOMPSON DIANE | ||||||||||||||
| SR VP CHIEF NURSING OFF UNTIL 4/9/15 | $325,897 | $0 | $89,792 | $0 | $5,919 | $0 | $360,115 | $0 | $22,397 | $0 | $804,120 | $0 | $0 | $0 |
| LITWIN DEMETRIUS MD | ||||||||||||||
| PHYSICIAN, CHAIR OF SURGERY DEPT | $555,716 | $0 | $161,939 | $0 | $0 | $0 | $13,000 | $0 | $28,775 | $0 | $759,430 | $0 | $0 | $0 |
| BOZORGZADEH ADEL MD | ||||||||||||||
| PHYSICIAN, CHIEF OF ORGAN TRANSPLANT | $469,603 | $0 | $243,156 | $0 | $0 | $0 | $13,000 | $0 | $28,594 | $0 | $754,353 | $0 | $0 | $0 |
| AROUS ELIAS J MD | ||||||||||||||
| PHYSICIAN, ASSOC. CHIEF MEDICAL OFFI | $596,100 | $0 | $49,600 | $0 | $0 | $0 | $13,000 | $0 | $26,061 | $0 | $684,761 | $0 | $0 | $0 |
| AYERS DAVID C MD | ||||||||||||||
| PHYSICIAN, CHAIR OF ORTHOPEDICS AND | $606,387 | $0 | $34,957 | $0 | $0 | $0 | $13,000 | $0 | $27,769 | $0 | $682,113 | $0 | $0 | $0 |
| BUSCONI BRIAN D MD | ||||||||||||||
| PHYSICIAN, CHIEF OF ORTHOPEDICS | $501,137 | $0 | $115,985 | $0 | $0 | $0 | $13,000 | $0 | $26,061 | $0 | $656,183 | $0 | $0 | $0 |
| CHANDLER WILLIS | ||||||||||||||
| FMR DIR CLINTON UNTIL 12/31/11 | $0 | $0 | $0 | $0 | $43,852 | $0 | $0 | $0 | $107 | $0 | $43,959 | $0 | $43,852 | $0 |
| FERRUCCI JOSEPH MD | ||||||||||||||
| FMR DIR CMMIC UNTIL 3/31/13 | $259,317 | $0 | $15,612 | $0 | $1,385 | $0 | $8,300 | $0 | $15,785 | $0 | $300,399 | $0 | $0 | $0 |
| PAPPAS ARTHUR M MD | ||||||||||||||
| FMR DIR UNTIL 3/27/13 | $12,736 | $0 | $800 | $0 | $0 | $0 | $101 | $0 | $107 | $0 | $13,744 | $0 | $0 | $0 |
| MOORE KAREN | ||||||||||||||
| FMR PRESIDENT/DIR UNTIL 3/25/13 | $0 | $0 | $0 | $0 | $156,975 | $0 | $26,309 | $0 | $13,714 | $0 | $196,998 | $0 | $156,975 | $0 |
| BLUTE MICHAEL MD | ||||||||||||||
| FMR KEY EE UNTIL 3/31/2012, CANCER C | $0 | $0 | $0 | $0 | $122,006 | $0 | $0 | $0 | $107 | $0 | $122,113 | $0 | $122,006 | $0 |
| DALEY JENNIFER MD | ||||||||||||||
| FMR EXEC VP, COO, UNTIL 3/18/13 | $0 | $0 | $0 | $0 | $529,399 | $0 | $100,961 | $0 | $25,255 | $0 | $655,615 | $0 | $529,399 | $0 |
| ETTINGER WALTER H MD | ||||||||||||||
| FMR KEY EE/PRES MEDCTR UNTIL 1/20/12 | $0 | $0 | $0 | $0 | $716,815 | $0 | $0 | $0 | $107 | $0 | $716,922 | $0 | $716,815 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINES 4A-B | FormAndLineReferenceDesc |
| Explanation | PART I, LINE 4A: RECEIVE A SEVERANCE PAYMENT OR CHANGE-OF-CONTROL PAYMENT. THE FOLLOWING INDIVIDUALS RECEIVED OR HAD DEFERRED SEVERANCE IN THE REPORTING PERIOD: INCLUDED IN SCH. J COL. BIII: ANDERSON, MILTON $127,422 BRENCKLE, GEORGE, PH.D. $198,020 DALEY, JENNIFER, MD $479,079 DIAMOND, VICTORIA $235,532 FERRUCCI, JOSEPH, MD $ 1,385 HYLKA, SHARON $217,849 KEATING, TODD $389,532 MOORE, KAREN $142,257 SZYMANSKI, CANDRA D. $ 88,494 INCLUDED IN SCH. J COL. C: ANDERSON, MILTON $293,123 BRENCKLE, GEORGE, PH.D. $225,567 DIAMOND, VICTORIA $ 12,296 GEORGE, PATRICIA $339,530 HYLKA, SHARON $190,143 THOMPSON, DIANE $313,225 THE DEFERRED SEVERANCE REPORTED ON SCH. J COL. C IS THE MAXIMUM POTENTIAL OBLIGATION FOR UMMHC AND AFFILIATES. THESE SEVERANCE COSTS ARE OFFSET IN PART BY THE RECIPIENTS GAINING EMPLOYMENT. THEREFORE, THEIR OVERALL SEVERANCE BENEFIT COULD BE SUBSTANTIALLY LOWER. PART I, LINE 4B: NAME OF PARTICIPANTS IN OR RECEIVING PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN EXECUTIVES BOLLAND ESHGHI, KATHARINE $24,719 BROWN, DOUGLAS S. $44,821 CORBETT, WILLIAM, MD $30,800 DALY, SHEILA $0 DICKSON, ERIC, M.D. $38,913 EKSTROM, DEBORAH $15,608 FAIRCHILD, DAVID, M.D. $35,436 FINBERG, ROBERT W., MD $0 GREENWOOD, JOHN $16,119 IITSUKA, CARLOS $0 KEATING, TODD A. $76,900 LAPRIORE, CHERYL M. $30,636 MELGAR, SERGIO $0 MULDOON, PATRICK L. $31,239 PHILBIN, CHRIS $0 ROACH, STEVEN $0 ROSSI, CATHERINE $0 SHAKMAN, ALICE $24,782 STREETER, MICHELE M. $26,031 SWENSON, DANA $0 TOSI, STEPHEN E., M.D. $257,069 WEYMOUTH, DEBORAH $0 SUBTOTAL EXECUTIVES $653,071 KEY EMPLOYEES ANDERSON, MILTON $12,086 BRENCKLE, GEORGE, PH.D. $55,236 CYR, JAMES P. $17,956 DAY, THERESE $27,201 DIAMOND, VICTORIA $43,540 FELDMANN, ROBERT $0 FISHER, BARBARA $63,026 GEORGE, PATRICIA $0 HUDLIN, MARGARET, M.D. $9,339 HYLKA, SHARON $66,871 RANDOLPH, JOHN $0 TARNOWSKI, TIMOTHY $0 THOMPSON, DIANE $0 SUBTOTAL KEY EMPLOYEES $295,257 FORMER O/D OR KEY EMPLOYEES BLUTE, MICHAEL, MD $122,006 CHANDLER, WILLIS $ 30,786 DALEY, JENNIFER, MD $ 50,320 ETTINGER, WALTER H., MD $ 77,458 MOORE, KAREN $ 14,718 SUBTOTAL FORMER $295,287 TOTAL - ALL $1,243,615 PART II - DISCLOSURES: 1) THE ABOVE DIRECTORS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR. PART II - UNRELATED ORGANIZATION: THE OFFICERS, DIRECTORS AND HIGHEST COMPENSATED EMPLOYEES LISTED IN PART II THAT RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION WERE PAID FOR THEIR SERVICES RELATED TO MEDICAL RESEARCH, EDUCATION OF MEDICAL STUDENTS AND RESIDENT TRAINING. AMOUNTS INCLUDE THEIR BASE COMPENSATION AND DEFERRED COMPENSATION FOR CALENDAR YEAR 2014. THE NAME OF THE UNRELATED ORGANIZATION IS UMASS MEDICAL SCHOOL. PART III - UNRELATED ORGANIZATION COMPENSATION OFFICERS, DIRECTORS, TRUSTEES ALFRED, HOWARD, MD $ 24,667 BAGLEY, PETER, MD $134,387 BROWN, ALAN P., MD $ 64,030 CARLUCCI, DANIEL, MD $ 92,600 COCCHIARELLA, ANDREW, MD $129,095 FINBERG, ROBERT W., MD $305,351 HARLAN, DAVID, MD $166,150 KENNEDY, KATHRYN, MD $ 38,782 LASSER, DANIEL H., MD $260,363 MESSINA, LOUIS, MD $129,000 METZMAKER, JEFFREY N., MD $144,351 NOMPLEGGI, DOMINIC, MD $170,252 ROSEN, MAX P., MD $254,953 ZIEDONIS, DOUGLAS, MD $254,377 SUBTOTAL OFF., DIR., TRUSTEES $2,168,358 FORMER FERRUCCI, JOSEPH, MD $ 39,877 SUBTOTAL FORMER $ 39,877 TOP 5 HIGHEST PAID LITWIN, DEMETRIUS, MD $276,118 BOZORGZADEH, ADEL, MD $139,000 AROUS, ELIAS J., MD $160,068 AYERS, DAVID C., MD $192,088 BUSCONI, BRIAN, MD $136,500 SUBTOTAL TOP 5 HIGHEST PAID $903,774 TOTAL COMP. FROM UNREL. ORG. $3,112,009 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MHEFA-UMASS MEMORIAL SERIES D | ||||||||
| A | 042456011 | 57586CLQ6 | 2005-08-18 | $107,450,000 | SEE PART VI | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES E | ||||||||
| B | 042456011 | 57586EHZ7 | 2009-05-22 | $30,000,000 | SEE PART VI | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES F | ||||||||
| C | 042456011 | 57586EJA0 | 2009-05-22 | $30,000,000 | SEE PART VI | 0 | 0 | 0 |
| MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A | ||||||||
| D | 043431814 | 2009-11-24 | $9,420,000 | SEE PART VI | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $110,521,543 | $10,709,415 | $5,411,300 | $1,384,731 | $3,427,397 | $95,000,000 | 2006 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $30,062,453 | $170,731 | $205,455 | $29,856,998 | 2012 | 0 | 0 | Yes (1) | Yes (1) | $30,000,000 | ||
| C | $30,062,772 | $238,917 | $118,700 | $29,944,072 | 2012 | 0 | 0 | Yes (1) | Yes (1) | $30,000,000 | ||
| D | $9,420,000 | $191,609 | $93,458 | $9,326,542 | 2009 | Yes (1) | 0 | Yes (1) | Yes (1) | $1,203,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00580 | 0.00580 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| D | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|
| A | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I - BOND ISSUES (A) ISSUER NAME: | MHEFA - UMASS MEMORIAL, SERIES D MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F MDFA - MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL, SERIES G MDFA - UMASS MEMORIAL MASTER LEASE MDFA - UMASS MEMORIAL, SERIES H MDFA - UMASS MEMORIAL, MASTER LEASE MDFA - UMASS MEMORIAL, MASTER LEASE MDFA - UMASS MEMORIAL VARIABLE RATE, SERIES E MDFA - UMASS MEMORIAL VARIABLE RATE, SERIES F |
| PART I - BOND ISSUE | MHEFA-UMASS MEMORIAL, SERIES D PART I COLUMN (C ) CUSIP #: 57586CLP8 - 57586CLQ6 PART I COLUMN (F) DESCRIPTION OF PURPOSE: COMPLETION OF THE EXPANSION OF THE EMERGENCY DEPT AND ROUTINE CAPITAL EQUIPMENT AND/OR RENOVATION PROJECTS |
| PART I - BOND ISSUE | MHEFA-UMASS MEMORIAL VARIABLE RATE, SERIES E PART I COLUMN (C ) CUSIP #: 57586EHZ7 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS |
| PART I - BOND ISSUE | MDFA-UMASS MEMORIAL VARIABLE RATE, SERIES E PART I COLUMN (F) DESCRIPTION OF PURPOSE: PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES E BONDS |
| PART I - BOND ISSUE | MHEFA-UMASS MEMORIAL VARIABLE RATE, SERIES F PART I COLUMN (C ) CUSIP #: 57586EJA0 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS |
| PART I - BOND ISSUE | MDFA-UMASS MEMORIAL VARIABLE RATE, SERIES F PART I COLUMN (F) DESCRIPTION OF PURPOSE: PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES F BONDS |
| PART I - BOND ISSUE | MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A PART I COLUMN (F) DESCRIPTION OF PURPOSE: PAY OFF HEFA POOL O LOAN, ER RENOVATIONS, EICU EQUIPMENT, CT SCAN LEASE, MAMMOGRAPHY UNIT |
| PART I - BOND ISSUE | MHEFA-UMASS MEMORIAL, SERIES G PART I COLUMN (C ) CUSIP #: 57586EUS8 - 57586EUT6 - 57586EUU3 - 57586EUV1 - 57586EUW9 - 57586EUX7 - 57586EUY5 - 57586EUZ2 - 57586EVA6 - 57586EVB4 - 57586EVC2 - 57586EVD0 - 57586EVE8 - 57586EVF5 - 57586EVG3 - 57586EVH1 - 57586EVJ7 PART I COLUMN (F) DESCRIPTION OF PURPOSE: REFUNDING OF CENTRAL NEW ENGLAND HEALTH ALLIANCE SERIES A BOND (1993) AND MEDICAL CENTER OF CENTRAL MASSACHUSETTS, SERIES B (1992) |
| PART I - BOND ISSUE | MDFA-UMASS MEMORIAL, SERIES H PART I COLUMN (C ) CUSIP #: 57583UGP7 - 57583UGQ5 - 57583UGR3 - 57583UGS1 - 57583UGT9 - 57583UGU6 - 57583UGV4 - 57583UGW2 - 57583UGX0 - 57583UGY8 - 57583UGZ5 - 57583UHA9 - 57583UHB7 - 57583UHC5 PART I COLUMN (F) DESCRIPTION OF PURPOSE: PARTIAL REFUNDING OF MEDICAL CENTER VARIABLE RATE SERIES A BONDS (1998), REFUNDING IN FULL OF CENTRAL NEW ENGLAND HEALTH ALLIANCE SERIES B BONDS (1998) AND UMASS MEMORIAL SERIES C (2001). |
| PART II - PROCEEDS | MHEFA - UMASS MEMORIAL, SERIES D COLUMN (E) ISSUE PRICE OF $107,450,000; ADD ISSUE PREMIUM OF $604,814, ADD INTEREST EARNED ON PROCEEDS OF $3,427,397, LESS ISSUE DISCOUNT OF ($960,668), EQUALS LINE 3 OF $110,521,543. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $62,453, EQUALS LINE 3 OF $30,062,453. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $62,772, EQUALS LINE 3 OF $30,062,772. MHEFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $717,238, EQUALS LINE 3 OF $20,717,238. MHEFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $152,952, EQUALS LINE 3 OF $20,152,952. MHEFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $24,254, EQUALS LINE 3 OF $20,024,254. MHEFA - UMASS MEMORIAL, SERIES G COLUMN (E) ISSUE PRICE OF $60,445,000; ADD ISSUE PREMIUM OF $1,388,656 ADD INTEREST EARNED ON PROCEEDS OF $180, EQUALS LINE 3 OF $61,833,836 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. MDFA - UMASS MEMORIAL, SERIES H COLUMN (E) ISSUE PRICE OF $90,990,000; ADD ISSUE PREMIUM OF $1,303,778, EQUALS LINE 3 OF $92,293,778. 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. 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 IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| MHEFA-UMASS MEMORIAL MASTER LEASE | |||||||
| A | 042456011 | 2005-12-07 | $10,000,000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | |||||||
| B | 042456011 | 2006-12-27 | $20,000,000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | |||||||
| C | 042456011 | 2008-04-24 | $20,000,000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | |||||||
| D | 042456011 | 2009-07-24 | $20,000,000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capitalized InterestCapitalizedInterestAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $10,000,000 | $10,000,000 | $10,000,000 | 2006 | 0 | 0 | Yes (1) | Yes (1) | |||
| B | $20,000,000 | $20,717,238 | $19,973,035 | 2007 | 0 | 0 | Yes (1) | Yes (1) | $26,965 | $717,238 | |
| C | $20,000,000 | $20,152,952 | $19,970,928 | 2009 | 0 | 0 | Yes (1) | Yes (1) | $29,072 | $152,952 | |
| D | $20,000,000 | $20,024,254 | $19,971,500 | 2010 | 0 | 0 | Yes (1) | Yes (1) | $28,500 | $24,254 | $46,165 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|
| A | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| D | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MHEFA-UMASS MEMORIAL SERIES G | ||||||||
| A | 042456011 | 57586EUS8 | 2010-05-27 | $60,445,000 | SEE PART VI | 0 | 0 | 0 |
| MDFA-UMASS MEMORIAL MASTER LEASE | ||||||||
| B | 043431814 | 2010-12-09 | $20,000,000 | CAPITAL EQUIPMENT | 0 | 0 | 0 | |
| MDFA-UMASS MEMORIAL SERIES H | ||||||||
| C | 043431814 | 57583UGP7 | 2011-08-10 | $90,990,000 | SEE PART VI | 0 | 0 | 0 |
| MDFA-UMASS MEMORIAL MASTER LEASE | ||||||||
| D | 043431814 | 2011-12-28 | $20,000,000 | CAPITAL EQUIPMENT | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $22,850,000 | $61,833,836 | $2,048,188 | $60,734,797 | $1,099,039 | 2010 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $15,670,619 | $20,005,301 | $100,675 | $33,031 | 2011 | 0 | 0 | Yes (1) | Yes (1) | $5,301 | $19,966,969 | |
| C | $16,845,000 | $92,293,778 | $4,117,468 | $91,058,463 | $1,235,315 | 2011 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| D | $12,276,004 | $20,013,504 | $156,122 | $29,000 | 2013 | 0 | 0 | Yes (1) | Yes (1) | $13,504 | $19,971,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|
| A | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| D | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| MDFA-UMASS MEMORIAL MASTER LEASE | |||||||
| A | 043431814 | 2013-08-14 | $20,000,000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MDFA-UMASS MEMORIAL VARIABLE RATE SERIES E | |||||||
| B | 043431814 | 2015-04-01 | $27,290,000 | SEE PART VI | 0 | 0 | 0 |
| MDFA-UMASS MEMORIAL VARIABLE RATE SERIES F | |||||||
| C | 043431814 | 2015-05-21 | $27,290,000 | SEE PART VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Refunding EscrowRefundingEscrowAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $6,788,688 | $20,000,723 | $172,391 | $36,810 | $723 | $19,963,190 | 2013 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $765,000 | $27,290,000 | $181,155 | 2015 | Yes (1) | 0 | Yes (1) | Yes (1) | $27,290,000 | |||
| C | $765,000 | $27,290,000 | $106,839 | 2015 | Yes (1) | 0 | Yes (1) | Yes (1) | $27,290,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|
| A | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| FLOYD CONNELLY | |||||||
| FORMER EXECUTIVE DIRECTOR OF CMMIC, INC. | CSV OF LIFE INSURANCE | Yes (X) | $455,570 | $301,054 | 0 | Yes (1) | Yes (1) |
| THOMAS CUMMINGS | |||||||
| FORMER CEO OF MARLBOROUGH HOSPITAL | CSV OF LIFE INSURANCE | Yes (X) | $377,630 | $230,850 | 0 | Yes (1) | Yes (1) |
| WILLIAM J WILLIAMS | |||||||
| FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC. | CSV OF LIFE INSURANCE | Yes (X) | $1,981,627 | $4,171,785 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $4,703,689 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (17 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| FERNANDO CATALINA MD | |||
| BOD | $346,180 | RENTAL OF PROPERTY - INCOME | 0 |
| ANTHONY J MERCADANTE | |||
| BOD | $448,004 | PHYSICIAN SERVICES WERE PROVIDED TO HA HOSPITALS, INC. BY CARDIOLOGY INTERNISTS OF LEOMINSTER, INC., OF WHICH ANTHONY J. MERCADANTE'S BROTHER, NICHOLAS MERCADANTE, IS A PRINCIPAL. | 0 |
| EDWARD MANZI | |||
| BOD | $212,570 | RENTAL OF PROPERTY - EXPENSE | 0 |
| ERIC W DICKSON MD | |||
| OFFICER/BOD | $493,770 | ED SERVICES WERE PROVIDED TO HA HOSPITALS, INC. BY WACHUSETT EMERGENCY PHYSICIANS PC, A COMPANY WHICH CONTRACTS ED SERVICES FROM PRINCETON BIO-MEDICAL, A COMPANY WHICH IS CO-OWNED BY ERIC W. DICKSON, M.D. & HIS SPOUSE CATHERINE JONES, M.D. | 0 |
| JOHN H BUDD (OF COUNSEL) | |||
| BOD | $1,035,462 | LEGAL SERVICES WERE PROVIDED TO UMM HEALTH CARE, INC. AND UMM MEDICAL CENTER, INC. BY MIRICK, O'CONNELL, DEMALLIE, & LOUGEE, LLP. JOHN H. BUDD IS OF COUNSEL TO THIS LAW FIRM BUT PERFORMED NO WORK FOR UMM AND/OR AFFILIATED ENTITIES. | 0 |
| KATHLEEN HYLKA | |||
| FAMILY MEMBER OF SHARON HYLKA, KEY EMPLOYEE (JANUARY 2014 RETIREMENT) | $102,657 | EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC. | 0 |
| JOANNE D'ONFRO | |||
| FAMILY MEMBER OF PAUL D'ONFRO, BOD | $51,529 | EMPLOYMENT ARRANGEMENT W/ HA HOSPITALS, INC. | 0 |
| ELLEN CARLUCCI | |||
| FAMILY MEMBER OF DANIEL CARLUCCI, M.D., BOD | $128,426 | EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL | 0 |
| KATHRYN C MAY | |||
| FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER | $44,084 | EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC. | 0 |
| EILEEN HENRICKSON RN | |||
| FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER | $127,940 | EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC. | 0 |
| KAREN BUCKLEY RN | |||
| FAMILY MEMBER OF MARY CARLSON, BOD | $51,302 | EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL | 0 |
| ELAINE GRANVILLE RN | |||
| FAMILY MEMBER OF CHERYL LAPRIORE, OFFICER/BOD | $93,949 | EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC. | 0 |
| JOSHUA P SZYMANSKI | |||
| FAMILY MEMBER OF CANDRA SZYMANSKI, INTERIM OFFICER/BOD (UNTIL 12/13) | $29,352 | EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL | 0 |
| LALITA MATTA MD | |||
| BOD | $31,132 | AMOUNTS WERE PAID TO LALITA MATTA, M.D. BY UMM MEDICAL GROUP, INC., ACTING AS MEDIATOR, FOR MEETING CERTAIN TARGETS AND/OR OTHER CRITERION AS ESTABLISHED IN 3RD PARTY PAYER CONTRACTS. DEPENDENT ON THE AGREEMENT AND THE MEASURES MET, PAYMENTS CAN BE IN THE FORM OF ADDITIONAL COMPENSATION AND/OR AS A RETURN OF WITHHELD FUNDS. | 0 |
| WILLIAM MCGRAIL ESQUIRE | |||
| BOD | $775,527 | CLINTON HOSPITAL ASSOCIATION HAS A CERTIFICATE OF DEPOSIT WITH CLINTON SAVINGS BANK, OF WHICH WILLIAM MCGRAIL, ESQUIRE IS A BOARD MEMBER. THE INTEREST RATE WAS ASSESSED AND COMPARED WITH THOSE OF OTHER LOCAL BANKS AND DETERMINED TO BE FAIR MARKET VALUE. | 0 |
| ROBERT J PAULHUS JR | |||
| BOD | $775,527 | CLINTON HOSPITAL ASSOCIATION HAS A CERTIFICATE OF DEPOSIT WITH CLINTON SAVINGS BANK, OF WHICH ROBERT J. PAULHUS, JR. IS THE PRESIDENT AND CEO. THE INTEREST RATE WAS ASSESSED AND COMPARED WITH THOSE OF OTHER LOCAL BANKS AND DETERMINED TO BE FAIR MARKET VALUE. | 0 |
| GERARD P RICHER | |||
| BOD | $433,501 | MARLBOROUGH HOSPITAL HAS A CERTIFICATE OF DEPOSIT WITH ST. MARY'S CREDIT UNION, OF WHICH GERARD P. RICHER IS THE CHAIRPERSON OF THE BOARD OF DIRECTORS. THE INTEREST RATE WAS ASSESSED AND COMPARED WITH THOSE OF OTHER LOCAL BANKS AND DETERMINED TO BE FAIR MARKET VALUE. | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCH L, PART II, LOANS FROM INTERESTED PERSONS: | NAME OF INTERESTED PERSON, TITLE, ORIGINAL PRINCIPAL AMOUNT, BALANCE DUETHOMAS CUMMINGS, FORMER CEO OF MARLBOROUGH HOSPITAL, $377,630, $230,850WILLIAM J. WILLIAMS, FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC., $1,981,627, $4,171,785FLOYD CONNELLY, FORMER DIRECTOR OF CMMIC, INC., $455,570, $301,054TOTAL ORIGINAL PRINCIPAL AMOUNT $2,814,827TOTAL BALANCE DUE $4,703,689AMOUNTS DUE FROM FORMER OFFICERS PERTAIN TO SPLIT DOLLAR LIFE INSURANCE POLICIES OF THE RESPECTED 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. |
| SCH 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 MOST ARE VALUED WELL BELOW THE DISCLOSURE THRESHOLDS. BALANCES PERTAINING TO CERTIFICATES OF DEPOSIT THAT EXCEED THE DISCLOSURE THRESHOLDS HAVE BEEN SEPARATELY REPORTED. |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail (5 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL HEALTH VENTURES INC | |||||||||
| CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. - CASH | 2015-09-30 | $506,905 | BOOK VALUE | 222605679 | 306 BELMONT STREET | WORCESTER | MA | 01604 | 501(C)(3) |
| UMASS MEMORIAL HEALTH VENTURES INC | |||||||||
| CENTRAL MASSACHUSETTS MAGNETIC IMAGINING CENTER, INC. - CURRENT ASSETS | 2015-09-30 | $14,767,673 | BOOK VALUE | 222605679 | 306 BELMONT STREET | WORCESTER | MA | 01604 | 501(C)(3) |
| UMASS MEMORIAL HEALTH VENTURES INC | |||||||||
| CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. - NOTES RECEIVABLE | 2015-09-30 | $1,739,565 | BOOK VALUE | 222605679 | 306 BELMONT STREET | WORCESTER | MA | 01604 | 501(C)(3) |
| UMASS MEMORIAL HEALTH VENTURES INC | |||||||||
| CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. - INVESTMENTS | 2015-09-30 | $9,999,523 | BOOK VALUE | 222605679 | 306 BELMONT STREET | WORCESTER | MA | 01604 | 501(C)(3) |
| UMASS MEMORIAL HEALTH VENTURES INC | |||||||||
| CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. - OTHER ASSETS | 2015-09-30 | $4,125,282 | BOOK VALUE | 222605679 | 306 BELMONT STREET | WORCESTER | MA | 01604 | 501(C)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | Yes (1) | DirectorOfSuccessorInd |
| Employee Of Successor | 0 | EmployeeOfSuccessorInd |
| Owner Of Successor | 0 | OwnerOfSuccessorInd |
| Receive Compensation | 0 | ReceiveCompensationInd |
| Assets Distributed | Yes (1) | AssetsDistributedInd |
| Required To Notify AG | Yes (1) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (1) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (1) | LiabilitiesPaidInd |
| Bonds Outstanding | 0 | BondsOutstandingInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2E: | FormAndLineReferenceDesc |
| Explanation | EXPLANATION OF INVOLVEMENT: SEVERAL OF THE DIRECTORS OF CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. ARE ALREADY OFFICERS AND/OR DIRECTORS OF THE TRANSFEREE ORGANIZATION. BOTH ORGANIZATIONS ARE INCLUDED IN THIS GROUP RETURN - GROUP EXEMPTION #3642SERGIO MELGARFRANCIS W. SMITHTODD A. KEATINGPAUL KANGASJOHN H. BUDDFREDERICK G. CROCKERGERARD P. RICHERERIC W. DICKSON, MDCHERYL LAPRIOREEDWARD J. PARRY, IIICENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. WAS MERGED INTO ANOTHER ORGANIZATION WITHIN THE UMASS MEMORIAL SYSTEM.SEE ATTACHED MERGER DOCUMENTS | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DISCLOSURE YEAR, DISCLOSING INDIVIDUAL, TITLE/ROLE, RELATIONSHIP WITH, RELATIONSHIP UMMHC 2014 - BENNETT, RICHARD, BOARD MEMBER, MARLBOROUGH SAVINGS BANK (BUSINESS) VENTURES 2014 - BUDD, JOHN, BOARD MEMBER, PAUL D'ONFRO (BUSINESS) MEMBER ENTITIES HEALTHALLIANCE 2014 - CLEMENTI, JOHN, BOARD MEMBER, 80 ERDMAN WAY LLC (BUSINESS) 2014 - CATALINA, FERNANDO, BOARD MEMBER, BOYS & GIRLS CLUB (BUSINESS) CHL 2014 - EKSTROM, DEBORAH, CEO, CHL, FIDELITY COOPERATIVE BANK (EDWARD MANZI) (BUSINESS), FIDELITY MUTUAL HOLDING COMPANY (BUSINESS) MARLBOROUGH 2014 - BENNETT, RICHARD, BOARD MEMBER, MARLBOROUGH SAVINGS BANK (BUSINESS) 2014 - CARLUCCI, DANIEL, BOARD MEMBER, ELLEN CARLUCCI (FAMILY) CLINTON 2014 - PAULHUS, JR., ROBERT, BOARD MEMBER, PAUL CHERUBINI (BUSINESS) 2014 - CHERUBINI, PAUL, BOARD MEMBER, PAULHUS, JR., ROBERT (BUSINESS) UMM ACO 2014 - NONE UMM MED GROUP 2014 - NONE |
| FORM 990, PART VI, SECTION A, LINE 6 | THERE ARE NO CLASSES OF DIRECTORS. THE VOTING RIGHTS OF EACH MEMBER'S BOARD ARE ABSOLUTE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MAJORITY OF ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (WHICH IS ALSO WITHIN THE CONSOLIDATED GROUP) 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, SECTION A, LINE 7B | THE MAJORITY OF THE ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (WHICH IS ALSO WITHIN THE CONSOLIDATED GROUP) 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, SECTION B, LINE 11 | 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, SECTION B, LINE 12C | PAGE 6 SECTION B. POLICIES LINE 12C: 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 AND, THERE IS ACTIVE MONITORING AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH DECISIONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | PAGE 6 SECTION B. POLICIES LINE 15B: AT UMASS MEMORIAL, ALL COMPENSATION MATTERS FOR THE CEO AND SENIOR EXECUTIVES THROUGHOUT THE SYSTEM (INCLUDING ALL "DISQUALIFIED PERSONS") ARE GOVERNED AND OVERSEEN BY THE BOARD OF TRUSTEES OF THE PARENT. 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. THE BOARD ESTABLISHED A COMPENSATION COMMITTEE, MADE UP OF DISINTERESTED TRUSTEES, WHO ARE GIVEN THE AUTHORITY TO ESTABLISH COMPENSATION FOR ALL SENIOR EXECUTIVES, WITHIN THE PARAMETERS OF THE PHILOSOPHY, AND WITH FULL AND COMPLETE REPORTING TO THE FULL BOARD. THE COMPENSATION COMMITTEE PERFORMS ITS WORK PURSUANT TO ITS CHARTER AND A COMPENSATION POLICY THAT ESTABLISHES THE PROCESS THE COMMITTEE WILL FOLLOW IN REVIEWING AND APPROVING EXECUTIVE COMPENSATION EACH YEAR. THE COMMITTEE ENSURES THAT ITS PROCESS MEETS THE REBUTABLE PRESUMPTION OF REASONABLENESS ESTABLISHED BY THE IRS. IN ORDER TO ASSIST THE COMMITTEE IN ITS RESPONSIBILITIES, THE COMPENSATION COMMITTEE HIRES INDEPENDENT, OUTSIDE COMPENSATION CONSULTANTS TO ADVISE THE COMMITTEE AND THE BOARD ON THE REASONABLENESS OF OVERALL EXECUTIVE COMPENSATION PROGRAM, INCLUDING COMPENSATION OF THE SPECIFIC EXECUTIVES. THESE CONSULTANTS 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, SECTION C, LINE 19 | PAGE 6: LINE 19 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 11 - MISC. REVENUE, COLUMN C - UNREL. BUS. REVENU | JOINT VENTURE UNRELATED BUSINESS INCOME (LOSS) FROM K-1'S TAX YEAR EIN NAME 2014 04-2708828 BIO-LAB, INC. 2013 46-4276493 SHIELDS SPECIALTY PHARMACY OF SPRINGFIELD, LLC 2014 46-4276493 SHIELDS SPECIALTY PHARMACY OF SPRINGFIELD, LLC 2014 47-1510851 SHIELDS PHARMACY OF NEWARK, LLC |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 211,958,691. MANAGEMENT AND GENERAL EXPENSES 72,877,307. FUNDRAISING EXPENSES 32,881. TOTAL EXPENSES 284,868,879. |
| FORM 990, PART IX, LINE 11G - DETAIL | LINE 25 - TOTAL FUNCTIONAL EXPENSES - COLUMN (A) $2,483,941,839 LINE 11G - OTHER FEES - COLUMN (A) $ 284,868,879 PERCENTAGE OF EXPENSES ON LINE 11G TO TOTAL EXPENSES 11% DETAIL OF OTHER FEES ON LINE 11G AFFILIATE PURCHASED SERVICES $ 98,528,699 MEDICAL SCHOOL INTERNS AND RESIDENTS SERVICES $ 39,526,447 OUTSIDE LAB SERVICES $ 12,873,728 CLINICAL ENGINEERING SERVICES $ 11,686,014 PURCHASED TEMPORARY HELP $ 9,038,274 ICD-10 CHARGES $ 4,212,717 TRANSCRIPTION SERVICES $ 3,964,440 PROFESSIONAL MEDICAL SERVICES $ 3,287,213 DISCOUNT PURCHASING SERVICES $ 2,006,491 PRIVACY ADVISORY SERVICES $ 1,256,055 RECRUITMENT FEES $ 831,317 MEDICAL SCHOOL PARTICIPATION PAYMENT $ 631,844 COLLECTION AGENCY SERVICES $ 478,039 SHIELDS CARE PURCHASED SERVICES $ 245,462 LINEN SERVICES $ 70,913 ANSWERING SERVICES $ 20,917 OTHER $ 96,210,309 TOTAL $ 284,868,879 |
| FORM 990, PART XI, LINE 9: | NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 1,757,904. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -57,317,934. CHANGE IN BENEFICIAL INTERESTS IN PERPETUAL TRUSTS -1,846,398. MISCELLANEOUS 184. NET ASSETS RELEASED FROM RESTRICTION FOR PPE 594,093. TEMPORARY RESTRICTED FUND EXPENDITURES -2,352,948. ALLOWANCE FOR UNCOLLECTIBLE PLEDGES 84,976. PLEDGE RECEIVABLES, WRITE-OFFS AND ADJUSTMENTS -224,049. TRANSFERS TO FR FUNDS -75,438. BOOK TO TAX DIFFERENCE FROM S-CORP K-1 4,119,722. |
| PAGE 1, LINE H(B) LIST OF AFFILIATED ORGANIZATIONS | THE CLINTON HOSPITAL ASSOCIATION; 201 HIGHLAND STREET, CLINTON, MA 01510 EIN: 04-1185520 FISCAL YEAR END: 9/30/2015 MARLBOROUGH HOSPITAL; 157 UNION STREET, MARLBOROUGH, MA 01752 EIN: 04-2104693 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3374724 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL COMMUNITY HOSPITALS, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3296271 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL HEALTH VENTURES, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 22-2605679 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL MEDICAL CENTER, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3358564 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL MEDICAL GROUP, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-2911067 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL REALTY, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-2805630 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL HEALTH CARE, INC. (PARENT); 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3358566 FISCAL YEAR END: 9/30/2015 COMMUNITY HEALTHLINK, INC.; 72 JAQUES AVENUE, WORCESTER, MA 01610 EIN: 04-2626179 FISCAL YEAR END: 9/30/2015 CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC.; 367 PLANTATION STREET, WORCESTER, MA 01605 EIN: 04-2981362 FISCAL YEAR END: 9/30/2015 CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-3172496 FISCAL YEAR END: 9/30/2015 COORDINATED PRIMARY CARE, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-3210002 FISCAL YEAR END: 9/30/2015 HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.; 25 TUCKER ROAD, LEOMINSTER, MA 01453 EIN: 04-2932308 FISCAL YEAR END: 9/30/2015 HEALTHALLIANCE HOSPITALS, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-2103555 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZATION, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 46-2871359 FISCAL YEAR END: 9/30/2015 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL FOUNDATION INC | ||||||||||
| 333 SOUTH STREET | SHREWSBURY | MA | 01545 | 043108190 | FUNDRAISING SUPPORT | MA | 501(C)(3) | 11C | N/A | 0 |
| HEALTH ALLIANCE REALTY CORPORATION | ||||||||||
| 60 HOSPITAL ROAD | LEOMINSTER | MA | 01473 | 042560754 | REAL ESTATE MANAGEMENT | MA | 501(C)(2) | N/A | N/A | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP | |||||||||||||||
| ONE BIOTECH PARK 355 PLANTATION ST | WORCESTER | MA | 01605 | 043530755 | INVESTMENT MANAGEMENT | MA | N/A | EXCLUDED 514 | $23,004,489 | $453,170,744 | 0 | $2,186 | Yes (1) | 1.00000 | |
| UMASS MEMORIAL MRI OF MARLBOROUGH LLC | |||||||||||||||
| 157 UNION STREET | MARLBOROUGH | MA | 01752 | 202293995 | MAGNETIC RESONANCE IMAGING | MA | RELATED | $565,497 | $412,728 | 0 | 0 | 0.56000 | MARLBOROUGH HOSPITAL | ||
| UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC | |||||||||||||||
| 60 HOSPITAL ROAD | LEOMINSTER | MA | 01453 | 043561571 | MAGNETIC RESONANCE IMAGING | MA | N/A | RELATED | $993,573 | $1,289,638 | 0 | 0 | 0.60000 | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD | |||||||||||||||||
| PO BOX 1051 GT | GRAND CAYMAN | CJ | 980226143 | INSURANCE | CJ | N/A | C | -$14,339,873 | $167,731,722 | 1.00000 | 0 | ||||||
| MEMORIAL OFFICE CONDOMINIUM TRUST | |||||||||||||||||
| 046616900 | CONDOMINIUM ASSOCIATION | T | $271,634 | 0.53690 | 0 | 306 BELMONT STREET | WORCESTER | MA | 01604 | MA | UMASS MEMORIAL MEDICAL CENTER INC | ||||||
| BIO-LAB INC | |||||||||||||||||
| 042708828 | CLINICAL LABORATORY | S | -$45,915 | $2,212,007 | 1.00000 | 0 | 215 WEST STREET | MILFORD | MA | 01757 | MA | UMASS MEMORIAL HEALTH VENTURES INC | |||||
| 116 BELMONT ST INC CO APPLETON CORP | |||||||||||||||||
| 042717865 | CONDOMINIUM ASSOCIATION | C | $215 | $144,305 | 0.63040 | 0 | 57 SUFFOLK STREET | HOLYOKE | MA | 01040 | MA | UMASS MEMORIAL REALTY INC | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (21 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | ||
| L | $25,903,450 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL CENTER INC | ||
| B | $328,847 | FAIR VALUE |
| UMASS MEMORIAL REALTY INC | ||
| P | $256,898 | FAIR VALUE |
| MARLBOROUGH HOSPITAL | ||
| P | $4,131,200 | FAIR VALUE |
| THE CLINTON HOSPITAL ASSOCIATION | ||
| P | $2,743,141 | FAIR VALUE |
| CENTRAL NEW ENGLAND HEALTH ALLIANCE INC | ||
| P | $4,016,667 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL CENTER INC | ||
| P | $135,617,159 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| P | $34,291,782 | FAIR VALUE |
| COMMUNITY HEALTHLINK INC | ||
| P | $485,800 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| B | $705,787 | FAIR VALUE |
| UMASS MEMORIAL REALTY INC | ||
| J | $3,152,642 | FAIR VALUE |
| THE CLINTON HOSPITAL ASSOCIATION | ||
| B | $312,500 | FAIR VALUE |
| COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | ||
| P | $33,585,804 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL CENTER INC | ||
| S | $483,561 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL CENTER INC | ||
| Q | $27,935 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| L | $5,383,644 | FAIR VALUE |
| CENTRAL NEW ENGLAND HEALTH ALLIANCE INC | ||
| Q | $8,026 | FAIR VALUE |
| UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZATION INC | ||
| L | $353,923 | FAIR VALUE |
| MARLBOROUGH HOSPITAL | ||
| B | $9,312 | FAIR VALUE |
| CENTRAL NEW ENGLAND HEALTH ALLIANCE INC | ||
| B | $112,589 | FAIR VALUE |
| COMMUNITY HEALTHLINK INC | ||
| R | $5,895 | FAIR VALUE |