STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-05T11:04:44-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135381590PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02114ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN912155626EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UMASS MEMORIAL HEALTH CARE INC & AFFILIATESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUMASBusinessNameControlTxt
Phone5083340496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1306 BELMONT STREETAddressLine1Txt
CityWORCESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSERGIO MELGARPersonNm
Person TitleEVP/CFO/TREASURERPersonTitleTxt
Phone5083340496PhoneNum
Signature2016-08-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY T ROGERSPreparerPersonNm
PTINP01074284PTIN
Phone6177427788PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSERGIO MELGARPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1306 BELMONT STREETAddressLine1Txt
CityWORCESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,870,065,467GrossReceiptsAmt
Group Return For AffiliatesYes (1)GroupReturnForAffiliatesInd
All Affiliates IncludedYes (1)AllAffiliatesIncludedInd
Group Exemption3642GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UMASSMEMORIAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionUMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body192VotingMembersGoverningBodyCnt
Voting Members Independent104VotingMembersIndependentCnt
Total Employee15036TotalEmployeeCnt
Total Volunteers1182TotalVolunteersCnt
Total Gross UBI$1,976,329TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,687,383PYContributionsGrantsAmt
CY Contributions Grants$14,499,867CYContributionsGrantsAmt
PY Program Service Revenue$2,539,202,708PYProgramServiceRevenueAmt
CY Program Service Revenue$2,510,679,190CYProgramServiceRevenueAmt
PY Investment Income$47,398,719PYInvestmentIncomeAmt
CY Investment Income$41,297,302CYInvestmentIncomeAmt
PY Other Revenue$11,933,184PYOtherRevenueAmt
CY Other Revenue$11,103,132CYOtherRevenueAmt
PY Total Revenue$2,610,221,994PYTotalRevenueAmt
CY Total Revenue$2,577,579,491CYTotalRevenueAmt
PY Grants And Similar Paid$4,940,267PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,483,733CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,292,502,919PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,277,516,317CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$301,241PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$323,352CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$835,153CYTotalFundraisingExpenseAmt
PY Other Expenses$1,246,056,328PYOtherExpensesAmt
CY Other Expenses$1,201,618,437CYOtherExpensesAmt
PY Total Expenses$2,543,800,755PYTotalExpensesAmt
CY Total Expenses$2,483,941,839CYTotalExpensesAmt
PY Revenues Less Expenses$66,421,239PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$93,637,652CYRevenuesLessExpensesAmt
Total Assets BOY$2,142,414,587TotalAssetsBOYAmt
Total Assets EOY$2,290,835,371TotalAssetsEOYAmt
Total Liabilities BOY$1,235,963,484TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,382,662,313TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$906,451,103NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$908,173,058NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionUMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,187,083,343ExpenseAmt
Grant$2,336,260GrantAmt
Revenue$1,498,951,691RevenueAmt
DescUMASS 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: 131,052Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$210,667,104ExpenseAmt
Grant$69,298GrantAmt
Revenue$269,554,234RevenueAmt
DescUMASS 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: 84,427Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$438,100,920ExpenseAmt
Revenue$465,476,475RevenueAmt
DescUMASS 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

FieldValueIRS element (for citing)
Expense$73,699,339ExpenseAmt
Grant$2,078,175GrantAmt
Revenue$277,064,881RevenueAmt
DescOTHER 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
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$73,699,339TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$2,078,175TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$277,064,881TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,909,550,706TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate OperationsYes (1)TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1565IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee15036EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members192GoverningBodyVotingMembersCnt
Independent Voting Member104IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBERT FELDMANNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5083340496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1306 BELMONT STREETAddressLine1Txt
CityWORCESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01604ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (156 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALFRED HOWARD MD
DIRECTOR, UMM ACO, INC.37.00Yes (X)$248,148$0$30,650
BAGLEY PETER MD
DIRECTOR, UMM ACO, INC.27.00Yes (X)$354,743$0$121,106
BROWN ALAN P MD
SECRETARY, UMMHC, INC., DIRECTOR VARIOUS31.00Yes (X)$193,418$0$34,737Yes (X)
CARLUCCI DANIEL MD
DIRECTOR, MARLBOROUGH HOSPITAL32.00Yes (X)$309,832$0$41,594
COFONE MICHAEL J
TREASURER/DIRECTOR, COORDINATED PRIMARY CARE, INC40.00Yes (X)$367,804$0$37,725Yes (X)
CORBETT WILLIAM MD
DIRECTOR, MARLBOROUGH HOSPITAL40.00Yes (X)$453,989$0$164,280
DALY SHEILA
PRESIDENT, CLINTON HOSPITAL ASSOC., DIRECTOR HOSP40.00Yes (X)$283,264$0$44,867Yes (X)
DICKSON ERIC W MD
PRESIDENT & CEO/DIRECTOR, UMM HEALTH CARE, INC.40.00Yes (X)$1,333,724$0$270,644Yes (X)
DUNCAN DAVID
DIRECTOR UNTIL 8/3/15, COORDINATED PRIMARY CARE,40.00Yes (X)$196,369$0$30,664
EISENSTOCK JORDAN MD
DIRECTOR, UMM ACO, INC.40.00Yes (X)$185,876$0$32,895
FAIRCHILD DAVID MD
PRESIDENT/DIRECTOR, UMM ACO, INC.40.00Yes (X)$512,543$0$103,616Yes (X)
FERGUSON R KEVIN MD
DIRECTOR, UMM MED GROUP, INC.40.00Yes (X)$277,690$0$37,521
FINBERG ROBERT W MD
DIRECTOR, UMM HEALTH CARE, INC.20.00Yes (X)$315,755$0$132,665
GOTTLIEB PHILIP D MD
DIRECTOR UNTIL 12/13, CLINTON HOSPITAL ASSOC.40.00Yes (X)$372,910$0$37,761
HARLAN DAVID MD
DIRECTOR, UMM ACO, INC.20.00Yes (X)$181,056$0$34,745
IITSUKA CARLOS
DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC.40.00Yes (X)$93,476$0$16,575
KENNEDY KATHRYN MD
DIRECTOR, UMM MED GROUP, INC.36.00Yes (X)$289,156$0$41,588
LAPRIORE CHERYL M
PRESIDENT/DIRECTOR, UMM HEALTH VENTURES, INC.40.00Yes (X)$369,560$0$123,508Yes (X)
LASSER DANIEL H MD
DIRECTOR, UMM MED GROUP, INC.20.00Yes (X)$260,581$0$83,128
MESSINA LOUIS MD
DIRECTOR UNTIL 3/14, UMM MED GROUP, INC.33.00Yes (X)$597,486$0$41,891
METZMAKER JEFFREY N MD
DIRECTOR, UMM MED GROUP, INC.29.00Yes (X)$425,311$0$39,061
MULDOON PATRICK
PRESIDENT, UMM MED CTR, INC.,40.00Yes (X)$869,566$0$295,711Yes (X)
NOMPLEGGI DOMINIC MD
DIRECTOR, UMM MED GROUP, INC.29.00Yes (X)$342,706$0$43,154
OKIKE O NSIDINANYA MD
DIRECTOR, UMM HEALTH CARE, INC.40.00Yes (X)$534,847$0$40,943
O'LEARY DANIEL MD
DIRECTOR, COORDINATED PRIMARY CARE, INC.25.00Yes (X)$188,960$0$7,673
PHILBIN CHRIS
DIRECTOR, UMASS MEMORIAL COMMUNITY HOSPITALS, INC40.00Yes (X)$229,880$0$49,690
ROACH STEVEN
PRESIDENT/DIRECTOR, MARLBOROUGH HOSPITAL40.00Yes (X)$457,614$0$65,400Yes (X)
ROSEN MAX P MD
DIRECTOR, CMMIC, INC.24.00Yes (X)$407,337$0$16,840
ROSSI CATHERINE
DIRECTOR, CLINTON HOSPITAL ASSOCIATION40.00Yes (X)$208,552$0$47,729
SIOUFI HABIB A MD
DIRECTOR, CLINTON HOSPITAL ASSOCIATION40.00Yes (X)$207,566$0$34,623
SWENSON DANA E
PRESIDENT/DIRECTOR, UMM REALTY, INC.40.00Yes (X)$296,299$0$146,610Yes (X)
TOSI STEPHEN E MD
PRESIDENT, UMM MED GROUP, INC., DIRECTOR VARIOUS40.00Yes (X)$1,249,264$0$288,367Yes (X)
YOUNG LYNDA M MD
DIRECTOR, UMM HEALTH CARE, INC.1.00Yes (X)$40,974$0$107
ZIEDONIS DOUGLAS MD
PRESIDENT/DIRECTOR, UMBHS, INC.20.00Yes (X)$227,696$0$40,499Yes (X)
ALLEN GAIL
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
ARNOW JONATHAN MD
DIRECTOR UNTIL 6/15, CLINTON HOSPITAL ASSOCIATION1.00Yes (X)$0$0$0
BABINEAU ROBERT JR MD
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
BENNETT DAVID L
CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
BENNETT RICHARD K
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
BERGERON ARTHUR
DIRECTOR UNTIL 12/14, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
BERKEY DENNIS D
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
BERRY SARAH G
EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
BOUDREAU NORMAN
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
BOVENZI LESLIE
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
BUDD JOHN H
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
CARLSON MARY
DIRECTOR UNTIL 7/14, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
CATALINA FERNANDO MD
VICE CHAIRPERSON, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
CHERUBINI J PAUL
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00Yes (X)$0$0$0
CLEMENTI JOHN
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
COLLINS MICHAEL MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
COLONERO BENJAMIN H JR
DIRECTOR, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
CONNOR EDWARD J
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00Yes (X)$0$0$0
CONNORS MARTIN JR
DIRECTOR UNTIL 4/14, CENTRAL NEW ENGLAND HEALTHALL1.00Yes (X)$0$0$0
CORNELL LOIS D
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
CROCKER FREDERICK G
DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC.1.00Yes (X)$0$0$0
CUTLER J CHRISTOPHER FACHE
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.1.00Yes (X)$0$0$0
D'ALELIO EDWARD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
DAVIS DIX F
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
DENNEHY RAYMOND III
CHAIRPERSON UNTIL 3/15, HEALTH ALLIANCE HOME HEALT1.00Yes (X)$0$0$0
DIGERONIMO ARTHUR P JR
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
D'ONFRO PAUL
CHAIRPERSON, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
FARRELL LYNNE
DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE,1.00Yes (X)$0$0$0
FITCH ROGER
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00Yes (X)$0$0$0
FLOTTE TERENCE MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
GRASSETTE AMY
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00Yes (X)$0$0$0
GRAY JENNIFER
DIRECTOR UNTIL 6/15, CLINTON HOSPITAL ASSOCIATION1.00Yes (X)$0$0$0
GUARDIOLA ELVIRA
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
HENEBRY CLARK
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00Yes (X)$0$0$0
HURLEY FRANCIS
DIRECTOR, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
JACOBSON M HOWARD
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
JOHNSON JOANNE
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00Yes (X)$0$0$0
KANGAS PAUL
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
KAPLAN DANIEL
DIRECTOR UNTIL 12/14, UMASS MEMORIAL MEDICAL GROUP1.00Yes (X)$0$0$0
KNOX PETER
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
KUPFER BARBARA
DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA1.00Yes (X)$0$0$0
LATIMER JOHN MD
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
LENHARDT STEPHEN W SR
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
MACNEILL HARRIS L
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
MANZI EDWARD
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00Yes (X)$0$0$0
MARTIN DONATA
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
MASEDA LUIS J
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00Yes (X)$0$0$0
MATTA LALITA MD
DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA1.00Yes (X)$0$0$0
MCGRAIL WILLIAM ESQUIRE
CHAIRPERSON, CLINTON HOSPITAL ASSOCIATION1.00Yes (X)$0$0$0
MCGUIRE TONI
DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA1.00Yes (X)$0$0$0
MCMULLEN CYNTHIA M EDD
EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
MCNAMARA MARY ELLEN
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
MENDOZA STEVEN
DIRECTOR UNTIL 6/15, CLINTON HOSPITAL ASSOCIATION1.00Yes (X)$0$0$0
MERCADANTE ANTHONY J
DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE,1.00Yes (X)$0$0$0
MOLLOY ANN K
DIRECTOR, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
MURPHY MICHAEL D
VICE CHAIRPERSON, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
PARRY EDWARD J III
VICE CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
PAULHUS ROBERT J JR
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00Yes (X)$0$0$0
PAULINO JEANNE
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00Yes (X)$0$0$0
PEDERSON THORU
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
PICI MICHAEL MD
DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA1.00Yes (X)$0$0$0
PONGOR PAUL J MD
DIRECTOR UNTIL 12/14, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
PURCELL PHILIP E
DIRECTOR, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
RICHER GERARD P
DIRECTOR, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
RIVARD MICHAEL
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
SANCHEZ CAROL
DIRECTOR, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
SEYMOUR-ROUTE PAULETTE PHD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
SHARMA VIBHA MD
DIRECTOR, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
SHEA JOHN ESQUIRE
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00Yes (X)$0$0$0
SHELTON ROBERT LESLIE MD
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
SIEGRIST RICHARD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
STECYK MARKIAN MD
DIRECTOR, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
TAYLOR HARVEY MD
DIRECTOR UNTIL 1/15, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
WALTON DAVID
DIRECTOR, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
WEISBERG OREN MD
DIRECTOR UNTIL 3/15, HEALTHALLIANCE HOSPITALS, INC1.00Yes (X)$0$0$0
WHITNEY MARY
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
WILSON JACK
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
BOLLAND ESHGHI KATHARINE
ASSISTANT SECRETARY, UMMHC, INC.40.00$393,499$0$95,011Yes (X)
BRONHARD JOHN
TREASURER, CNEHA, INC.40.00$218,445$0$11,391Yes (X)
BROWN DOUGLAS S
SECRETARY, UMM HEALTH CARE, INC.40.00$885,272$0$248,130Yes (X)
COCCHIARELLA ANDREW MD
DIRECTOR, MARLBOROUGH HOSPITAL40.00$314,972$0$38,305Yes (X)
CROTEAU MAUREEN
SECRETARY, CLINTON HOSPITAL ASSOC.40.00$54,459$0$23,525Yes (X)
D'AMBRA ANN-MARIA
SECRETARY, MARLBOROUGH HOSPITAL40.00$49,820$0$25,876Yes (X)
EKSTROM DEBORAH
PRESIDENT, COMMUNITY HEALTHLINK, INC.40.00$260,038$0$119,137Yes (X)
GREENWOOD JOHN
TREASURER, UMM ACO, INC.40.00$273,567$0$104,283Yes (X)
KEATING TODD A
TREASURER UNTIL 2/14, UMM HEALTH CARE, INC.40.00$1,190,005$0$149,070Yes (X)
MCCUE STEVEN
TREASURER, MARLBOROUGH HOSPITAL40.00$195,208$0$44,640Yes (X)
MELGAR SERGIO
TREASURER, UMASS MEMORIAL HEALTH CARE, INC.40.00$857,255$0$89,174Yes (X)
MORIN LYNN A
SECRETARY, CNEHA, INC.40.00$87,389$0$7,355Yes (X)
O'BRIEN WILLIAM
SECRETARY, UMBHS, INC.40.00$124,759$0$58,649Yes (X)
OLSON JEFFREY
TREASURER, CLINTON HOSPITAL ASSOC.40.00$155,872$0$58,847Yes (X)
SHAKMAN ALICE
PRESIDENT, CMMIC, INC.40.00$342,099$0$156,617Yes (X)
SMITH FRANCIS W
CLERK, UMM HEALTH VENTURES, INC.40.00$202,881$0$76,410Yes (X)
STREETER MICHELE
TREASURER, UMM MED GROUP, INC.40.00$593,494$0$248,789Yes (X)
SZYMANSKI CANDRA D
INTERIM PRESIDENT UNTIL 12/13, MARLBOROUGH HOSPIT40.00$190,684$0$13,521Yes (X)
WEYMOUTH DEBORAH
PRESIDENT, CENTRAL NEW ENGLAND HEALTHALLIANCE, IN40.00$223,633$0$6,415Yes (X)
ANDERSON MILTON
SR. VP, CHIEF HR OFFICER UNTIL 9/1440.00$771,463$0$388,099Yes (X)
BRENCKLE GEORGE PHD
SR. VP, CIO UNTIL 4/1440.00$519,540$0$349,803Yes (X)
CYR JAMES P
SR VP, HEART AND VASCULAR DISEASES40.00$321,924$0$185,405Yes (X)
DAY THERESE
VP, FINANCE / CFO OF MED CENTER40.00$371,674$0$179,287Yes (X)
DIAMOND VICTORIA
SR. VP, OPERATIONS, UNTIL 1/1440.00$422,990$0$142,327Yes (X)
FELDMANN ROBERT
VP, CORPORATE CONTROLLER40.00$322,778$0$154,309Yes (X)
FISHER BARBARA
SR VP, OPERATIONS40.00$379,613$0$152,588Yes (X)
GEORGE PATRICIA
VP & DEPUTY CIO40.00$18,466$0$340,096Yes (X)
HUDLIN MARGARET MD
CHIEF MED OFFICER/VP PERIOPERATIVE SVCS40.00$435,170$0$68,882Yes (X)
HYLKA SHARON
SR. VP, HOSPITAL ADMIN UNTIL 1/1440.00$971,604$0$270,706Yes (X)
JEWELL CATHY
SR VP, CHIEF NURSING OFFICER40.00$230,486$0$47,579Yes (X)
RANDOLPH JOHN
CHIEF COMPLIANCE OFFICER40.00$250,818$0$118,330Yes (X)
TARNOWSKI TIMOTHY
SR VP, CHIEF INFO OFFICER40.00$82,456$0$1,461Yes (X)
THOMPSON DIANE
SR VP CHIEF NURSING OFF UNTIL 4/9/1540.00$421,608$0$382,512Yes (X)
LITWIN DEMETRIUS MD
PHYSICIAN, CHAIR OF SURGERY DEPT27.00$717,655$0$41,775Yes (X)
BOZORGZADEH ADEL MD
PHYSICIAN, CHIEF OF ORGAN TRANSPLANTATION32.00$712,759$0$41,594Yes (X)
AROUS ELIAS J MD
PHYSICIAN, ASSOC. CHIEF MEDICAL OFFICER, CHIEF OF32.00$645,700$0$39,061Yes (X)
AYERS DAVID C MD
PHYSICIAN, CHAIR OF ORTHOPEDICS AND PHYSICAL REHA33.00$641,344$0$40,769Yes (X)
BUSCONI BRIAN D MD
PHYSICIAN, CHIEF OF ORTHOPEDICS33.00$617,122$0$39,061Yes (X)
CHANDLER WILLIS
FMR DIR CLINTON UNTIL 12/31/110.00$43,852$0$107Yes (X)
FERRUCCI JOSEPH MD
FMR DIR CMMIC UNTIL 3/31/130.00$276,314$0$24,085Yes (X)
PAPPAS ARTHUR M MD
FMR DIR UNTIL 3/27/130.00$13,536$0$208Yes (X)
MOORE KAREN
FMR PRESIDENT/DIR UNTIL 3/25/130.00$156,975$0$40,023Yes (X)
BLUTE MICHAEL MD
FMR KEY EE UNTIL 3/31/2012, CANCER CENTER OF E0.00$122,006$0$107Yes (X)
DALEY JENNIFER MD
FMR EXEC VP, COO, UNTIL 3/18/130.00$529,399$0$126,216Yes (X)
ETTINGER WALTER H MD
FMR KEY EE/PRES MEDCTR UNTIL 1/20/120.00$716,815$0$107Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$30,211,370TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$7,328,209TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2662IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
XEROX BUSINESS SVCS LLC
PO BOX 201322DALLASTX75320I/S MANAGEMENT SERVICES$27,975,170
UMASS MEMORIAL SHIELDS PHARMACY
25 ROCKWOOD ROADMARSHFIELDMA02050PHARMACY MANAGEMENT SERVICES$14,525,219
PRICE WATERHOUSE COOPERS LLP
PO BOX 7247 8001PHILADELPHIAPA19170CONSULTING SERVICES$5,009,858
SODEXO INC & AFFILIATES
PO BOX 360170PITTSBURGHPA152515170FOOD & HOUSEKEEPING SERVICES$4,595,689
LEIDOS HEALTH LLC
PO BOX 223866PITTSBURGHPA15251PROFESSIONAL BILLING SERVICES$4,518,377
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K180CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Federated Campaigns$70,000FederatedCampaignsAmt
Fundraising$731,239FundraisingAmt
Related Organizations$446,198RelatedOrganizationsAmt
Government Grants$8,578,916GovernmentGrantsAmt
All Other Contributions$4,673,514AllOtherContributionsAmt
Noncash Contributions$10,853NoncashContributionsAmt
Total Contributions$14,499,867TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE RE900099$1,960,116,077$1,960,116,077
SYSTEM ALLOCATION REVE900099$171,072,958$171,072,958
SPECIAL MEDICAID PAYME900099$168,649,504$168,649,504
AFFILIATE RELATED PROG900099$148,657,627$148,657,627
OTHER PSR & JV900099$36,449,481$36,449,481

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,733,543TotalRevenueColumnAmt
Related Or Exempt Func Income$25,733,543RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,510,679,190TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,473,582TotalRevenueColumnAmt
Related Or Exempt Func Income$36,162RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,186UnrelatedBusinessRevenueAmt
Exclusion$10,435,234ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,143TotalRevenueColumnAmt
Exclusion$78,143ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,628,666RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,371,048RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,257,618RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,257,618TotalRevenueColumnAmt
Exclusion$1,257,618ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$321,450,973SecuritiesAmt
Other$183,376OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$290,148,455SecuritiesAmt
Other$662,174OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$31,302,518SecuritiesAmt
Other-$478,798OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,823,720TotalRevenueColumnAmt
Related Or Exempt Func Income-$368,600RelatedOrExemptFuncIncomeAmt
Exclusion$31,192,320ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$283,518FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$731,239ContriRptFundraisingEventAmt
Fundraising Direct Expenses$304,299FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$20,781TotalRevenueColumnAmt
Exclusion-$20,781ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
OTHER REVENUE900099$7,527,369$700,529-$157,778$6,984,618
LAB OUTREACH PROGRAM621500$2,131,921$2,131,921
SUBLEASE INCOME900099$128,862$128,862
FieldValueIRS element (for citing)
Other Revenue Total$9,788,152OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,577,579,491TotalRevenueColumnAmt
Related Or Exempt Func Income$2,511,047,281RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,976,329UnrelatedBusinessRevenueAmt
Exclusion$50,056,014ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,385,885TotalAmt
Program Services$4,385,885ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$97,848TotalAmt
Program Services$97,848ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$31,388,756TotalAmt
Program Services$14,462,233ProgramServicesAmt
Management And General$16,926,523ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$970,434,089TotalAmt
Program Services$789,180,382ProgramServicesAmt
Management And General$180,904,401ManagementAndGeneralAmt
Fundraising$349,306FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$70,119,199TotalAmt
Program Services$57,068,484ProgramServicesAmt
Management And General$13,047,416ManagementAndGeneralAmt
Fundraising$3,299FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$139,261,372TotalAmt
Program Services$107,394,752ProgramServicesAmt
Management And General$31,845,944ManagementAndGeneralAmt
Fundraising$20,676FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$66,312,901TotalAmt
Program Services$53,230,350ProgramServicesAmt
Management And General$13,071,540ManagementAndGeneralAmt
Fundraising$11,011FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$61,196,488TotalAmt
Program Services$46,543,893ProgramServicesAmt
Management And General$14,652,595ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,723,857TotalAmt
Program Services$91,050ProgramServicesAmt
Management And General$1,632,807ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,099,208TotalAmt
Program Services$85ProgramServicesAmt
Management And General$1,099,123ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$177,020TotalAmt
Program Services$177,020ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$323,352TotalAmt
Fundraising$323,352FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,020,780TotalAmt
Management And General$1,020,780ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$284,868,879TotalAmt
Program Services$211,958,691ProgramServicesAmt
Management And General$72,877,307ManagementAndGeneralAmt
Fundraising$32,881FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,593,284TotalAmt
Program Services$91,822ProgramServicesAmt
Management And General$1,483,113ManagementAndGeneralAmt
Fundraising$18,349FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$23,952,176TotalAmt
Program Services$14,345,605ProgramServicesAmt
Management And General$9,599,848ManagementAndGeneralAmt
Fundraising$6,723FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$51,641,153TotalAmt
Program Services$3,280,896ProgramServicesAmt
Management And General$48,360,257ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$73,776,589TotalAmt
Program Services$46,762,931ProgramServicesAmt
Management And General$27,009,664ManagementAndGeneralAmt
Fundraising$3,994FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,616,353TotalAmt
Program Services$1,916,464ProgramServicesAmt
Management And General$699,317ManagementAndGeneralAmt
Fundraising$572FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,603,035TotalAmt
Program Services$1,029,559ProgramServicesAmt
Management And General$571,716ManagementAndGeneralAmt
Fundraising$1,760FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,305,620TotalAmt
Program Services$14,818,411ProgramServicesAmt
Management And General$487,209ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$103,110,509TotalAmt
Program Services$79,507,614ProgramServicesAmt
Management And General$23,602,895ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,293,792TotalAmt
Program Services$6,530,040ProgramServicesAmt
Management And General$4,763,752ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
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

FieldValueIRS element (for citing)
Total$34,259,927TotalAmt
Program Services$29,666,059ProgramServicesAmt
Management And General$4,575,272ManagementAndGeneralAmt
Fundraising$18,596FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,483,941,839TotalAmt
Program Services$1,909,550,706ProgramServicesAmt
Management And General$573,555,980ManagementAndGeneralAmt
Fundraising$835,153FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$91,339,673BOYAmt
EOY$119,788,165EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$51,569,765BOYAmt
EOY$65,070,897EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,221,500BOYAmt
EOY$562,552EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$262,415,754BOYAmt
EOY$250,995,615EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$4,432,374BOYAmt
EOY$4,703,689EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$41,989,817BOYAmt
EOY$33,456,546EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$24,740,080BOYAmt
EOY$29,117,718EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$23,751,081BOYAmt
EOY$22,899,661EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,669,626,558LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,086,098,052LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$616,971,066BOYAmt
EOY$583,528,506EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$459,751,041BOYAmt
EOY$72,182,619EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$164,159,185BOYAmt
EOY$519,994,237EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$35,417,054BOYAmt
EOY$63,800,082EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$364,656,197BOYAmt
EOY$524,735,084EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,142,414,587BOYAmt
EOY$2,290,835,371EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$277,838,208BOYAmt
EOY$286,431,598EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$584,353BOYAmt
EOY$338,032EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$9,420,067BOYAmt
EOY$6,297,369EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$340,791,673BOYAmt
EOY$327,411,105EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$45,087,007BOYAmt
EOY$43,756,483EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$32,590,236BOYAmt
EOY$50,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$529,651,940BOYAmt
EOY$668,427,726EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,235,963,484BOYAmt
EOY$1,382,662,313EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$741,359,678BOYAmt
EOY$747,417,618EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$86,449,119BOYAmt
EOY$76,999,973EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$78,642,306BOYAmt
EOY$83,755,467EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$906,451,103BOYAmt
EOY$908,173,058EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,142,414,587BOYAmt
EOY$2,290,835,371EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$93,637,652ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$36,655,809NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$55,259,888OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$175,957GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies DemonstrationsYes (1)RalliesDemonstrationsInd
Rallies Demonstrations$1,063RalliesDemonstrationsAmt
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$177,020TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$115,101,660BeginningYearBalanceAmt
Contributions$5,757,118ContributionsAmt
Investment Earnings Or Losses-$2,182,362InvestmentEarningsOrLossesAmt
Other Expenditures-$1,200,560OtherExpendituresAmt
End Year Balance$119,876,976EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$98,294,963BeginningYearBalanceAmt
Contributions$2,557,800ContributionsAmt
Investment Earnings Or Losses$12,021,986InvestmentEarningsOrLossesAmt
Other Expenditures$3,456,726OtherExpendituresAmt
End Year Balance$109,418,023EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$104,017,758BeginningYearBalanceAmt
Contributions$316,330ContributionsAmt
Investment Earnings Or Losses-$2,402,463InvestmentEarningsOrLossesAmt
Other Expenditures$3,636,662OtherExpendituresAmt
End Year Balance$98,294,963EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.71000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.29000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$839,373,502OtherCostOrOtherBasisAmt
Depreciation$514,258,026DepreciationAmt
Book Value$325,115,476BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,930,326OtherCostOrOtherBasisAmt
Depreciation$13,284,285DepreciationAmt
Book Value$10,646,041BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$749,469,454OtherCostOrOtherBasisAmt
Depreciation$554,643,101DepreciationAmt
Book Value$194,826,353BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,045,381OtherCostOrOtherBasisAmt
Depreciation$3,912,640DepreciationAmt
Book Value$44,132,741BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$583,528,506TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
BENEFICIAL INTEREST IN TRUSTS$66,580,170F
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD$120,000F
BIO VENTURES$123,323F
INVESTMENT IN UMASS MEMORIAL INVESTMENT PARTNERSHIP, LLP$453,170,744F
FieldValueIRS element (for citing)
Total Book Value Securities$519,994,237TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook 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
FieldValueIRS element (for citing)
Total Book Value Other Assets$524,735,084TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (13 entries)

DescDescAmtAmt
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
FieldValueIRS element (for citing)
Total Liability$668,427,726TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
UMASS MEMORIAL FOUNDATION INC
333 SOUTH STREETSHREWSBURYMA01545FUNDRAISING0$541,913$227,352$314,561
JNB ASSOCIATES
21 WATER STREETAMESBURYMA01913FUNDRAISING0$0$96,000-$96,000
FieldValueIRS element (for citing)
Total Gross Receipts$541,913TotalGrossReceiptsAmt
Total Retained By Contractors$323,352TotalRetainedByContractorsAmt
Total Net To Organization$218,561TotalNetToOrganizationAmt
Licensed StatesMALicensedStatesCd
Licensed StatesNHLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1PARENT-WINTER BALLEvent1Nm
Gross Receipts Event1$375,693GrossReceiptsEvent1Amt
Charitable Contri Event1$313,504CharitableContriEvent1Amt
Gross Revenue Event1$62,189GrossRevenueEvent1Amt
Rent Facility Costs Event1$21,608RentFacilityCostsEvent1Amt
Food And Beverage Event1$19,067FoodAndBeverageEvent1Amt
Entertainment Event1$8,747EntertainmentEvent1Amt
Other Direct Expenses Event1$12,767OtherDirectExpensesEvent1Amt
Event2CNEHA GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$305,899GrossReceiptsEvent2Amt
Charitable Contri Event2$162,940CharitableContriEvent2Amt
Gross Revenue Event2$142,959GrossRevenueEvent2Amt
Non Cash Prizes Event2$26,101NonCashPrizesEvent2Amt
Rent Facility Costs Event2$80,403RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$36,455OtherDirectExpensesEvent2Amt
Other Events Total8OtherEventsTotalCnt
Gross Receipts Other Events$333,165GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$254,795CharitableContriOtherEventsAmt
Gross Revenue Other Events$78,370GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$11,567NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$3,134RentFcltyCostsOtherEventsAmt
Entertainment Other Events$18,100EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$66,350OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,014,757GrossReceiptsTotalAmt
Charitable Contributions Tot$731,239CharitableContributionsTotAmt
Gross Revenue Total Events$283,518GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$37,668NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$105,145RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$19,067FoodAndBeverageTotalEventsAmt
Entertainment Total Events$26,847EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$115,572OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$304,299DirectExpenseSummaryEventsAmt
Net Income Summary-$20,781NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 INFORMATIONPART 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,049,684TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,118,773DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,930,911NetCommunityBenefitExpnsAmt
Total Expense0.00750TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$349,547,956TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$307,533,990DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,013,966NetCommunityBenefitExpnsAmt
Total Expense0.02430TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,139,319TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,979,868DirectOffsettingRevenueAmt
Net Community Benefit Expns$159,451NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$397,736,959TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$342,632,631DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,104,328NetCommunityBenefitExpnsAmt
Total Expense0.03190TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,842,170TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,007,471DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,834,699NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$206,454,967TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$109,759,749DirectOffsettingRevenueAmt
Net Community Benefit Expns$96,695,218NetCommunityBenefitExpnsAmt
Total Expense0.05600TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$103,394,362TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$84,456,325DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,938,037NetCommunityBenefitExpnsAmt
Total Expense0.01100TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$104,967TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,700DirectOffsettingRevenueAmt
Net Community Benefit Expns$77,267NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,740,983TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,740,983DirectOffsettingRevenueAmt

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$316,537,449TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$198,992,228DirectOffsettingRevenueAmt
Net Community Benefit Expns$117,545,221NetCommunityBenefitExpnsAmt
Total Expense0.06810TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$714,274,408TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$541,624,859DirectOffsettingRevenueAmt
Net Community Benefit Expns$172,649,549NetCommunityBenefitExpnsAmt
Total Expense0.10000TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,953TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,953NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,094TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,094NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,732TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$61,732NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,779TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$69,779NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$6,783,144BadDebtExpenseAmt
Bad Debt Expense Attributable$2,756,653BadDebtExpenseAttributableAmt
Reimbursed By Medicare$371,254,776ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$374,468,928CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,214,152MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (16 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
PROVIDES INSURANCE1.000000.000000.00000
2 UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP
MANAGES POOLED INVESTMENTS1.000000.000000.00000
3 UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC
MAGNETIC RESONANCE IMAGING CENTER0.600000.000000.00000
4 UMASS MEMORIAL MRI OF MARLBOROUGH LLC
MAGNETIC RESONANCE IMAGING CENTER0.560000.000000.00000
5 MEMORIAL OFFICE CONDOMINIUM TRUST
CONDO ASSOCIATION THAT OWNS MEDICAL OFFICE BUILDING0.536900.000000.00000
6 UMASS MEMORIAL MRI & IMAGING CENTER LLC
MAGNETIC RESONANCE IMAGING CENTER0.500000.000000.00000
7 NEW ENGLAND REHAB SERVICES OF CENTRAL MA INC (DBA FAIRLAWN REHAB)
ACUTE CARE REHABILITATION CENTER0.200000.000000.00000
8 BIO LAB INC
CLINICAL LABORATORY1.000000.000000.00000
9 SHIELDS IMAGING OF MASSACHUSETTS LLC
MANAGEMENT COMPANY FOR PET IMAGING0.250000.000000.00000
10 UMASS MEMORIAL SHIELDS PHARMACY LLC
PHARMACY SERVICES0.500000.000000.00000
11 116 BELMONT STREET INC
CONDO ASSOCIATION0.630400.000000.00000
12 SHIELDS SPECIALTY PHARMACY OF SPRINGFIELD LLC
PHARMACY SERVICES0.500000.000000.00000
13 SPECIALTY PHARMACY OF NEWARK
PHARMACY SERVICES0.500000.000000.00000
14 QUEST DIAGNOSTICS MASSACHUSETTS LLC
LABORATORY SERVICES0.189000.000000.00000
15 CENTRAL MA COMPREHENSIVE CANCER CENTER LLC (DBA NE RADIATION THERAPY)
ONCOLOGY SERVICES0.050000.000000.00000
16 BIOVENTURES INVESTORS LIMITED PARTNERSHIP
MANAGES INVESTMENTS0.060000.000000.00000
FieldValueIRS element (for citing)
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsInd
UMASS MEMORIAL MEDICAL CENTER INC
155 LAKE AVE 119 BELMONT STREETWORCESTERMA01605Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
HEALTHALLIANCE HOSPITAL INC
260 HOSPITAL ROADLEOMINSTERMA01453Yes (X)Yes (X)Yes (X)Yes (X)
MARLBOROUGH HOSPITAL
3157 UNION STREETMARLBOROUGHMA01752Yes (X)Yes (X)Yes (X)Yes (X)
CLINTON HOSPITAL ASSOCIATION
4201 HIGHLAND STREETCLINTONMA01510Yes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)

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UMASS MEMORIAL MEDICAL CENTER INC
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)14Yes (1)0Yes (1)Yes (1)Yes (X)WWW.UMASSMEMORIALHEALTHCARE.ORG/Yes (X)WWW.WORCESTERMA.GOV/Yes (X)Yes (X)Yes (1)14Yes (1)WWW.UMASSMEMORIALHEALTHCARE.ORG/00Yes (1)Yes (X)200.000000000000600.000000000000Yes (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)0Yes (1)
HEALTHALLIANCE HOSPITAL INC
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)14Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTP://WWW.HEALTHALLIANCE.COM/Yes (X)Yes (X)Yes (1)14Yes (1)HTTP://WWW.HEALTHALLIANCE.COM00Yes (1)Yes (X)200.000000000000600.000000000000Yes (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)0Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
MARLBOROUGH HOSPITAL
300Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTP://WWW.UMASSMEMORIALHEALTHCARE.ORG/MARLBOROUGH-HOSPITALYes (X)HTTP://WWW.MWHEALTH.ORGYes (X)Yes (1)13Yes (1)HTTP://WWW.UMASSMEMORIALHEALTHCARE.ORG/ABOUT-US/COMMUNITY-BENEFITS-PROGRAM/00Yes (1)Yes (X)200.000000000000600.000000000000Yes (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)0Yes (1)
CLINTON HOSPITAL ASSOCIATION
400Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)14Yes (1)Yes (1)Yes (1)Yes (1)Yes (X)HTTP://WWW.CLINTONHOSPITAL.ORGYes (X)HTTP://CHNA9.COM/INDEX.HTMLYes (X)Yes (X)Yes (1)14Yes (1)HTTP://WWW.CLINTONHOSPITAL.ORG00Yes (1)Yes (X)200.000000000000600.000000000000Yes (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)0Yes (1)

Supplemental Information SupplementalInformationGrp (42 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 HOSPITALPART 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 ASSOCIATIONPART 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 HOSPITALPART V, SECTION B, LINE 6A: THE ASSESSMENT WAS DONE IN CONJUNCTION WITH THE METRO WEST MEDICAL CENTER.
CLINTON HOSPITAL ASSOCIATIONPART 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 HOSPITALPART 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 ASSOCIATIONPART 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 ASSOCIATIONPART 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 HOSPITALPART 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 ASSOCIATIONPART 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 HOSPITALPART 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 ASSOCIATIONPART 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 HOSPITALPART 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 ASSOCIATIONPART 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 HOSPITALPART 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 ASSOCIATIONPART 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 HOSPITALPART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.
CLINTON HOSPITAL ASSOCIATIONPART 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 HOSPITALPART 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 ASSOCIATIONPART 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 & 7BUMASS 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.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I OTHER - RESEARCH EXPENSESTHE AMOUNT OF RESEARCH EXPENSES FOR FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS BEING REPORTED BY UMASS MEMORIAL HEALTH CARE IS LOW SINCE THESE COSTS ARE SUPPORTED BY THE UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL. THE MEDICAL SCHOOL IS CLOSELY ASSOCIATED WITH UMASS MEMORIAL HEALTH CARE AND PROVIDES A SIGNIFICANT NUMBER OF COMMUNITY BASED PROGRAMS.
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 STATESMA
PART VI LINE 7YES, ALL FOUR HOSPITALS FILE INDIVIDUAL COMMUNITY BENEFIT REPORTS WITH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC
650 LINCOLN STREETWORCESTERMA01605042513817501(C)(3)$1,000,000SUPPORT FOR HEALTH CENTER'S MISSION
FAMILY HEALTH CENTER OF WORCESTER INC
26 QUEEN STREETWORCESTERMA01610042485308501(C)(3)$1,000,000SUPPORT FOR HEALTH CENTER'S MISSION
UNIVERSITY OF MA MEDICAL SCHOOL
55 LAKE AVE NWORCESTERMA01655043167352501(C)(3)$200,000MUSCULOSKELETAL CENTER OF EXCELLENCE GRANT
UNIVERSITY OF MA MEDICAL SCHOOL
55 LAKE AVE NWORCESTERMA01655043167352501(C)(3)$50,000INTERVENTIONAL NEURORADIOLOGY RESEARCH
UNIVERSITY OF MA MEDICAL SCHOOL
55 LAKE AVE NWORCESTERMA01655043167352501(C)(3)$22,580COMPLEX AORTIC ANEURYSM REPAIR STUDY
UNIVERSITY OF MA MEDICAL SCHOOL
55 LAKE AVE NWORCESTERMA01655043167352501(C)(3)$2,000,000ACADEMIC CHAIR FUNDING
QCC FOUNDATION INC
670 WEST BOYLSTON STREETWORCESTERMA01606042897624501(C)(3)$5,000ANNIVERSARY SPONSORSHIP
UNIVERSITY OF MA MEDICAL SCHOOL
55 LAKE AVE NWORCESTERMA01655043167352501(C)(3)$5,000SPONSORSHIP OF SEED SYMPOSIUM
COMMUNITY HEALTHLINK
72 JACQUES AVEWORCESTERMA01610042626179501(C)(3)$6,500SPONSORSHIP FAMILY FUN FEST & "LISTEN IN" EVENT
CLINTON HOSPITAL
201 HIGHLAND STREETCLINTONMA01510041185520501(C)(3)$33,125125TH MATCH
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
INTERNSHIPS34$69,298
SPONSORSHIPS16$28,550

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE I, PART I LINE 2:FormAndLineReferenceDesc
ExplanationPART 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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (74 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
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

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINES 4A-BFormAndLineReferenceDesc
ExplanationPART 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. $3,112,009ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MHEFA-UMASS MEMORIAL SERIES D
A04245601157586CLQ62005-08-18$107,450,000SEE PART VI000
MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES E
B04245601157586EHZ72009-05-22$30,000,000SEE PART VI000
MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES F
C04245601157586EJA02009-05-22$30,000,000SEE PART VI000
MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A
D0434318142009-11-24$9,420,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmt
A$110,521,543$10,709,415$5,411,300$1,384,731$3,427,397$95,000,000200600Yes (1)Yes (1)
B$30,062,453$170,731$205,455$29,856,998201200Yes (1)Yes (1)$30,000,000
C$30,062,772$238,917$118,700$29,944,072201200Yes (1)Yes (1)$30,000,000
D$9,420,000$191,609$93,458$9,326,5422009Yes (1)0Yes (1)Yes (1)$1,203,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)00.005800.0058000Yes (1)
B000000Yes (1)
C000000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AYes (1)0000Yes (1)
BYes (1)Yes (1)000Yes (1)
CYes (1)Yes (1)000Yes (1)
DYes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 ISSUEMHEFA-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 ISSUEMHEFA-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 ISSUEMDFA-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 ISSUEMHEFA-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 ISSUEMDFA-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 ISSUEMDFA-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 ISSUEMHEFA-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 ISSUEMDFA-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 - PROCEEDSMHEFA - 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MHEFA-UMASS MEMORIAL MASTER LEASE
A0424560112005-12-07$10,000,000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL MASTER LEASE
B0424560112006-12-27$20,000,000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL MASTER LEASE
C0424560112008-04-24$20,000,000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL MASTER LEASE
D0424560112009-07-24$20,000,000CAPITAL EQUIPMENT000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapitalized InterestCapitalizedInterestAmt
A$10,000,000$10,000,000$10,000,000200600Yes (1)Yes (1)
B$20,000,000$20,717,238$19,973,035200700Yes (1)Yes (1)$26,965$717,238
C$20,000,000$20,152,952$19,970,928200900Yes (1)Yes (1)$29,072$152,952
D$20,000,000$20,024,254$19,971,500201000Yes (1)Yes (1)$28,500$24,254$46,165

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AYes (1)0000Yes (1)
BYes (1)0000Yes (1)
CYes (1)0000Yes (1)
DYes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MHEFA-UMASS MEMORIAL SERIES G
A04245601157586EUS82010-05-27$60,445,000SEE PART VI000
MDFA-UMASS MEMORIAL MASTER LEASE
B0434318142010-12-09$20,000,000CAPITAL EQUIPMENT000
MDFA-UMASS MEMORIAL SERIES H
C04343181457583UGP72011-08-10$90,990,000SEE PART VI000
MDFA-UMASS MEMORIAL MASTER LEASE
D0434318142011-12-28$20,000,000CAPITAL EQUIPMENT000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmt
A$22,850,000$61,833,836$2,048,188$60,734,797$1,099,039201000Yes (1)Yes (1)
B$15,670,619$20,005,301$100,675$33,031201100Yes (1)Yes (1)$5,301$19,966,969
C$16,845,000$92,293,778$4,117,468$91,058,463$1,235,3152011Yes (1)0Yes (1)Yes (1)
D$12,276,004$20,013,504$156,122$29,000201300Yes (1)Yes (1)$13,504$19,971,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AYes (1)0000Yes (1)
BYes (1)0000Yes (1)
CYes (1)0000Yes (1)
DYes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MDFA-UMASS MEMORIAL MASTER LEASE
A0434318142013-08-14$20,000,000CAPITAL EQUIPMENT000
MDFA-UMASS MEMORIAL VARIABLE RATE SERIES E
B0434318142015-04-01$27,290,000SEE PART VI000
MDFA-UMASS MEMORIAL VARIABLE RATE SERIES F
C0434318142015-05-21$27,290,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmt
A$6,788,688$20,000,723$172,391$36,810$723$19,963,190201300Yes (1)Yes (1)
B$765,000$27,290,000$181,1552015Yes (1)0Yes (1)Yes (1)$27,290,000
C$765,000$27,290,000$106,8392015Yes (1)0Yes (1)Yes (1)$27,290,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AYes (1)0000Yes (1)
BYes (1)Yes (1)000Yes (1)
CYes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
FLOYD CONNELLY
FORMER EXECUTIVE DIRECTOR OF CMMIC, INC.CSV OF LIFE INSURANCEYes (X)$455,570$301,0540Yes (1)Yes (1)
THOMAS CUMMINGS
FORMER CEO OF MARLBOROUGH HOSPITALCSV OF LIFE INSURANCEYes (X)$377,630$230,8500Yes (1)Yes (1)
WILLIAM J WILLIAMS
FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC.CSV OF LIFE INSURANCEYes (X)$1,981,627$4,171,7850Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$4,703,689TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (17 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
FERNANDO CATALINA MD
BOD$346,180RENTAL OF PROPERTY - INCOME0
ANTHONY J MERCADANTE
BOD$448,004PHYSICIAN 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$212,570RENTAL OF PROPERTY - EXPENSE0
ERIC W DICKSON MD
OFFICER/BOD$493,770ED 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$1,035,462LEGAL 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)$102,657EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC.0
JOANNE D'ONFRO
FAMILY MEMBER OF PAUL D'ONFRO, BOD$51,529EMPLOYMENT ARRANGEMENT W/ HA HOSPITALS, INC.0
ELLEN CARLUCCI
FAMILY MEMBER OF DANIEL CARLUCCI, M.D., BOD$128,426EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL0
KATHRYN C MAY
FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER$44,084EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC.0
EILEEN HENRICKSON RN
FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER$127,940EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC.0
KAREN BUCKLEY RN
FAMILY MEMBER OF MARY CARLSON, BOD$51,302EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL0
ELAINE GRANVILLE RN
FAMILY MEMBER OF CHERYL LAPRIORE, OFFICER/BOD$93,949EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC.0
JOSHUA P SZYMANSKI
FAMILY MEMBER OF CANDRA SZYMANSKI, INTERIM OFFICER/BOD (UNTIL 12/13)$29,352EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL0
LALITA MATTA MD
BOD$31,132AMOUNTS 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$775,527CLINTON 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$775,527CLINTON 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$433,501MARLBOROUGH 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtEINEINAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionTxt
UMASS MEMORIAL HEALTH VENTURES INC
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. - CASH2015-09-30$506,905BOOK VALUE222605679306 BELMONT STREETWORCESTERMA01604501(C)(3)
UMASS MEMORIAL HEALTH VENTURES INC
CENTRAL MASSACHUSETTS MAGNETIC IMAGINING CENTER, INC. - CURRENT ASSETS2015-09-30$14,767,673BOOK VALUE222605679306 BELMONT STREETWORCESTERMA01604501(C)(3)
UMASS MEMORIAL HEALTH VENTURES INC
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. - NOTES RECEIVABLE2015-09-30$1,739,565BOOK VALUE222605679306 BELMONT STREETWORCESTERMA01604501(C)(3)
UMASS MEMORIAL HEALTH VENTURES INC
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. - INVESTMENTS2015-09-30$9,999,523BOOK VALUE222605679306 BELMONT STREETWORCESTERMA01604501(C)(3)
UMASS MEMORIAL HEALTH VENTURES INC
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. - OTHER ASSETS2015-09-30$4,125,282BOOK VALUE222605679306 BELMONT STREETWORCESTERMA01604501(C)(3)
FieldValueIRS element (for citing)
Director Of SuccessorYes (1)DirectorOfSuccessorInd
Employee Of Successor0EmployeeOfSuccessorInd
Owner Of Successor0OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets DistributedYes (1)AssetsDistributedInd
Required To Notify AGYes (1)RequiredToNotifyAGInd
Attorney General NotifiedYes (1)AttorneyGeneralNotifiedInd
Liabilities PaidYes (1)LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2E:FormAndLineReferenceDesc
ExplanationEXPLANATION 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 DOCUMENTSExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2DISCLOSURE 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 6THERE ARE NO CLASSES OF DIRECTORS. THE VOTING RIGHTS OF EACH MEMBER'S BOARD ARE ABSOLUTE.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 7BTHE 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 11SECTIONS 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 12CPAGE 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 15PAGE 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 19PAGE 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. REVENUJOINT 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 11GOTHER 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 - DETAILLINE 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 ORGANIZATIONSTHE 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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
UMASS MEMORIAL FOUNDATION INC
333 SOUTH STREETSHREWSBURYMA01545043108190FUNDRAISING SUPPORTMA501(C)(3)11CN/A0
HEALTH ALLIANCE REALTY CORPORATION
60 HOSPITAL ROADLEOMINSTERMA01473042560754REAL ESTATE MANAGEMENTMA501(C)(2)N/AN/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP
ONE BIOTECH PARK 355 PLANTATION STWORCESTERMA01605043530755INVESTMENT MANAGEMENTMAN/AEXCLUDED 514$23,004,489$453,170,7440$2,186Yes (1)1.00000
UMASS MEMORIAL MRI OF MARLBOROUGH LLC
157 UNION STREETMARLBOROUGHMA01752202293995MAGNETIC RESONANCE IMAGINGMARELATED$565,497$412,728000.56000MARLBOROUGH HOSPITAL
UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC
60 HOSPITAL ROADLEOMINSTERMA01453043561571MAGNETIC RESONANCE IMAGINGMAN/ARELATED$993,573$1,289,638000.60000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD
PO BOX 1051 GTGRAND CAYMANCJ980226143INSURANCECJN/AC-$14,339,873$167,731,7221.000000
MEMORIAL OFFICE CONDOMINIUM TRUST
046616900CONDOMINIUM ASSOCIATIONT$271,6340.536900306 BELMONT STREETWORCESTERMA01604MAUMASS MEMORIAL MEDICAL CENTER INC
BIO-LAB INC
042708828CLINICAL LABORATORYS-$45,915$2,212,0071.000000215 WEST STREETMILFORDMA01757MAUMASS MEMORIAL HEALTH VENTURES INC
116 BELMONT ST INC CO APPLETON CORP
042717865CONDOMINIUM ASSOCIATIONC$215$144,3050.63040057 SUFFOLK STREETHOLYOKEMA01040MAUMASS MEMORIAL REALTY INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
L$25,903,450FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
B$328,847FAIR VALUE
UMASS MEMORIAL REALTY INC
P$256,898FAIR VALUE
MARLBOROUGH HOSPITAL
P$4,131,200FAIR VALUE
THE CLINTON HOSPITAL ASSOCIATION
P$2,743,141FAIR VALUE
CENTRAL NEW ENGLAND HEALTH ALLIANCE INC
P$4,016,667FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
P$135,617,159FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
P$34,291,782FAIR VALUE
COMMUNITY HEALTHLINK INC
P$485,800FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
B$705,787FAIR VALUE
UMASS MEMORIAL REALTY INC
J$3,152,642FAIR VALUE
THE CLINTON HOSPITAL ASSOCIATION
B$312,500FAIR VALUE
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
P$33,585,804FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
S$483,561FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
Q$27,935FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
L$5,383,644FAIR VALUE
CENTRAL NEW ENGLAND HEALTH ALLIANCE INC
Q$8,026FAIR VALUE
UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZATION INC
L$353,923FAIR VALUE
MARLBOROUGH HOSPITAL
B$9,312FAIR VALUE
CENTRAL NEW ENGLAND HEALTH ALLIANCE INC
B$112,589FAIR VALUE
COMMUNITY HEALTHLINK INC
R$5,895FAIR VALUE