STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UMASS MEMORIAL HEALTH CARE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
UMASS MEMORIAL HEALTH CARE INC (EIN 91-2155626)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-07
IRS object ID
201542199349300729
Schema version
2013v4.0
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)
Return2015-08-07T11:41:00-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN042684828PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FEELEY & DRISCOLL PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN912155626EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UMASS MEMORIAL HEALTH CARE INC & AFFILIATESBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlUMASBusinessNameControlTxt
Phone5083340496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1306 BELMONT STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01604ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSERGIO MELGARPersonNm
Person TitleEVP/CFO/TREASURERPersonTitleTxt
Phone5083340496PhoneNum
Signature2015-07-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonALAN GAROFALOPreparerPersonNm
PTINP00744592PTIN
Phone6177427788PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSERGIO MELGARPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1306 BELMONT STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01604ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$2,928,945,702GrossReceiptsAmt
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 Body185VotingMembersGoverningBodyCnt
Voting Members Independent106VotingMembersIndependentCnt
Total Employee15338TotalEmployeeCnt
Total Volunteers1239TotalVolunteersCnt
Total Gross UBI$2,794,065TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,831,011PYContributionsGrantsAmt
CY Contributions Grants$11,687,383CYContributionsGrantsAmt
PY Program Service Revenue$2,475,711,754PYProgramServiceRevenueAmt
CY Program Service Revenue$2,539,202,708CYProgramServiceRevenueAmt
PY Investment Income$112,241,056PYInvestmentIncomeAmt
CY Investment Income$47,398,719CYInvestmentIncomeAmt
PY Other Revenue$15,990,297PYOtherRevenueAmt
CY Other Revenue$11,933,184CYOtherRevenueAmt
PY Total Revenue$2,613,774,118PYTotalRevenueAmt
CY Total Revenue$2,610,221,994CYTotalRevenueAmt
PY Grants And Similar Paid$3,477,289PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,940,267CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,241,420,589PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,292,502,919CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$301,241CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,048,233CYTotalFundraisingExpenseAmt
PY Other Expenses$1,317,174,393PYOtherExpensesAmt
CY Other Expenses$1,246,056,328CYOtherExpensesAmt
PY Total Expenses$2,562,072,271PYTotalExpensesAmt
CY Total Expenses$2,543,800,755CYTotalExpensesAmt
PY Revenues Less Expenses$51,701,847PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$66,421,239CYRevenuesLessExpensesAmt
Total Assets BOY$2,152,708,574TotalAssetsBOYAmt
Total Assets EOY$2,142,414,587TotalAssetsEOYAmt
Total Liabilities BOY$1,262,465,868TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,235,963,484TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$890,242,706NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$906,451,103NetAssetsOrFundBalancesEOYAmt
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$1,215,823,895ExpenseAmt
Grant$2,864,353GrantAmt
Revenue$1,507,452,920RevenueAmt
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 2014 KEY STATISTICS - TOTAL DISCHARGES: 36,690 TOTAL SURGICAL CASES: 29,547 TOTAL ER VISITS: 132,110Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$435,501,621ExpenseAmt
Revenue$469,854,734RevenueAmt
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 Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$71,553,900ExpenseAmt
Grant$2,000,000GrantAmt
Revenue$303,694,576RevenueAmt
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

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$211,682,623ExpenseAmt
Grant$75,914GrantAmt
Revenue$261,293,734RevenueAmt
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 2014 KEY STATISTICS -TOTAL DISCHARGES: 10,949TOTAL SURGICAL CASES: 8,202TOTAL ER VISITS: 99,513Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$211,682,623TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$75,914TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$261,293,734TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,934,562,039TotalProgramServiceExpensesAmt
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 ContriYes (1)DeductibleNonCashContriInd
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 Document1979IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee15338EmployeeCnt
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 Members185GoverningBodyVotingMembersCnt
Independent Voting Member106IndependentVotingMemberCnt
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 FELDMANNBusinessNameLine1
FieldValueIRS element (for citing)
Phone5083340496PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1306 BELMONT STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01604ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (154 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)$261,974$0$25,525
ANDRIENI JULIA MD
DIRECTOR UNTIL 4/2013, UMM MED GROUP, INC.31.00Yes (X)$201,374$0$12,351
BAGLEY PETER MD
DIRECTOR, UMM ACO, INC.27.00Yes (X)$386,166$0$53,821
BROWN ALAN P MD
DIRECTOR, UMBHS, INC.31.00Yes (X)$190,588$0$34,203
CARLUCCI DANIEL MD
DIRECTOR, MARLBOROUGH HOSPITAL32.00Yes (X)$337,376$0$41,314
CAVAGNARO CHARLES EIII MD
DIRECTOR UNTIL 9/14, UMM HOSPITALS, INC.40.00Yes (X)$0$458,662$633,333
COFONE MICHAEL J
TREASURER/DIRECTOR, COORDINATED PRIMARY CARE, INC.40.00Yes (X)$354,671$0$33,495Yes (X)
CORBETT WILLIAM MD
DIRECTOR, MARLBOROUGH HOSPITAL40.00Yes (X)$375,248$0$84,107
DALY SHEILA
PRESIDENT, CLINTON HOSPITAL ASSOC., DIRECTOR HOSP40.00Yes (X)$226,348$0$36,854Yes (X)
DICKSON ERIC W MD
PRESIDENT & CEO/DIRECTOR, UMM HEALTH CARE, INC.40.00Yes (X)$761,102$0$156,798Yes (X)
DUNCAN DAVID
DIRECTOR, COORDINATED PRIMARY CARE, INC.40.00Yes (X)$202,611$0$28,994
EISENSTOCK JORDAN MD
DIRECTOR, UMM ACO, INC.40.00Yes (X)$189,631$0$32,991
FAIRCHILD DAVID MD
PRESIDENT/DIRECTOR, UMM ACO, INC.40.00Yes (X)$440,772$0$148,280Yes (X)
FERGUSON R KEVIN MD
DIRECTOR, UMM MED GROUP, INC.40.00Yes (X)$249,493$0$36,941
FERRUCCI JOSEPH MD
DIRECTOR UNTIL 3/31/13, CMMIC, INC.32.00Yes (X)$376,901$0$40,553
FINBERG ROBERT W MD
DIRECTOR, UMM HEALTH CARE, INC.20.00Yes (X)$283,734$0$110,497
GOTTLIEB PHILIP D MD
DIRECTOR UNTIL 12/13, CLINTON HOSPITAL ASSOC.40.00Yes (X)$370,339$0$37,461
HARLAN DAVID MD
DIRECTOR, UMM ACO, INC.20.00Yes (X)$182,645$0$34,452
KEATING TODD A
TREASURER UNTIL 2/14, UMM HEALTH CARE, INC.40.00Yes (X)$576,413$0$897,748Yes (X)
KENNEDY KATHRYN MD
DIRECTOR, UMM MED GROUP, INC.36.00Yes (X)$309,006$0$41,233
LAPIDAS GARY
PRESIDENT UNTIL 1/18/13, UMM HEALTH VENTURES, INC40.00Yes (X)$100,293$0$17,491Yes (X)
LAPRIORE CHERYL M
PRESIDENT/DIRECTOR, UMM HEALTH VENTURES, INC.40.00Yes (X)$280,923$0$83,656Yes (X)
LASSER DANIEL H MD
DIRECTOR, UMM MED GROUP, INC.20.00Yes (X)$247,205$0$26,787
MATTA LALITA MD
DIRECTOR, UMM ACO, INC.24.00Yes (X)$28,919$0$6,073
MESSINA LOUIS MD
DIRECTOR UNTIL 3/14, UMM MED GROUP, INC.33.00Yes (X)$626,730$0$61,111
METZMAKER JEFFREY N MD
DIRECTOR, UMM MED GROUP, INC.29.00Yes (X)$435,631$0$38,497
MOORE KAREN
PRESIDENT/DIRECTOR UNTIL 3/25/13, MARLBOROUGH HOSP40.00Yes (X)$357,628$0$82,477Yes (X)
MULDOON PATRICK
PRESIDENT, UMM MED CTR, INC.,40.00Yes (X)$544,998$0$152,278Yes (X)
NOMPLEGGI DOMINIC MD
DIRECTOR, UMM MED GROUP, INC.29.00Yes (X)$369,208$0$41,228
O'BRIEN JOHN G
PRESIDENT & CEO UNTIL 2/25/13, UMM HEALTH CARE, IN40.00Yes (X)$3,477,294$0$36,227Yes (X)
OKIKE O NSIDINANYA MD
DIRECTOR, UMM HEALTH CARE, INC.40.00Yes (X)$511,675$0$40,771
O'LEARY DANIEL MD
DIRECTOR, COORDINATED PRIMARY CARE, INC.25.00Yes (X)$171,244$0$4,675
ROACH STEVEN
PRESIDENT/DIRECTOR, MARLBOROUGH HOSPITAL40.00Yes (X)$50,929$0$6,807Yes (X)
ROSEN MAX P MD
DIRECTOR, CMMIC, INC.24.00Yes (X)$402,765$0$16,961
SWENSON DANA E
PRESIDENT/DIRECTOR, UMM REALTY, INC.40.00Yes (X)$265,644$0$128,932Yes (X)
SZYMANSKI CANDRA D
INTERIM PRESIDENT UNTIL 12/13, MARLBOROUGH HOSPITA40.00Yes (X)$230,795$0$157,161Yes (X)
TOSI STEPHEN E MD
PRESIDENT, UMM MED GROUP, INC., DIRECTOR VARIOUS40.00Yes (X)$808,548$0$284,139Yes (X)
YOUNG LYNDA M MD
DIRECTOR, UMM HEALTH CARE, INC.1.00Yes (X)$29,040$0$107
ZIEDONIS DOUGLAS MD
PRESIDENT/DIRECTOR, UMBHS, INC.20.00Yes (X)$210,680$0$39,251Yes (X)
ALLEN GAIL
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
ARNOW JONATHAN MD
DIRECTOR, 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, 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
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
CARLSON MARY
DIRECTOR, 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
CONNORS MARTIN JR
DIRECTOR UNTIL 4/14, HEALTHALLIANCE HOSPITALS, INC1.00Yes (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
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, HEALTH ALLIANCE HOME HEALTH AND HOSPI1.00Yes (X)$0$0$0
DIGERONIMO ARTHUR P JR
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
DITULLIO DANIEL
DIRECTOR UNTIL 9/30/14, CLINTON HOSPITAL FOUNDATIO1.00Yes (X)$0$0$0
DOBECK PAM
DIRECTOR UNTIL 9/30/14, CLINTON HOSPITAL FOUNDATIO1.00Yes (X)$0$0$0
D'ONFRO PAUL
CHAIRPERSON, HEALTHALLIANCE HOSPITALS, INC.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
GIBLIN DAVID R
DIRECTOR, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
GRAY JENNIFER
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00Yes (X)$0$0$0
GUARDIOLA ELVIRA
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00Yes (X)$0$0$0
HENEBRY CLARK
TREASURER/DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00Yes (X)$0$0$0Yes (X)
HEWITT FRANK
DIRECTOR UNTIL 9/30/14, CLINTON HOSPITAL FOUNDATIO1.00Yes (X)$0$0$0
HOLLISTER MATT
FIRST VICE PRESIDENT UNTIL 9/30/14, CLINTON HOSPIT1.00Yes (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, UMASS MEMORIAL MEDICAL GROUP, INC.1.00Yes (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
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
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
MELGAR SERGIO
TREASURER, UMASS MEMORIAL HEALTH CARE, INC.40.00Yes (X)$0$0$0Yes (X)
MENDOZA STEVEN
DIRECTOR, 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
MORRILLY DARLENE
DIRECTOR UNTIL 1/14, HEALTH ALLIANCE HOME HEALTH A1.00Yes (X)$0$0$0
MURPHY MICHAEL D
VICE CHAIRPERSON, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
NOONAN EDWARD J
DIRECTOR UNTIL 9/14, UMASS MEMORIAL HOSPITALS, INC1.00Yes (X)$0$0$0
PAEN GENARO
DIRECTOR UNTIL 9/30/14, CLINTON HOSPITAL FOUNDATIO1.00Yes (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$0Yes (X)
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, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
PURCELL PHILIP E
DIRECTOR, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
RICHER GERALD 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
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
STARR STANLEY B JR
DIRECTOR UNTIL 9/30/14, CLINTON HOSPITAL FOUNDATIO1.00Yes (X)$0$0$0
STECYK MARKIAN MD
DIRECTOR, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
TAYLOR HARVEY MD
DIRECTOR, MARLBOROUGH HOSPITAL1.00Yes (X)$0$0$0
WEISBERG OREN MD
DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.1.00Yes (X)$0$0$0
WEYMOUTH DEBORAH
PRESIDENT, HEALTHALLIANCE HOSPITALS, INC.40.00Yes (X)$0$0$0Yes (X)
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
BRONHARD JOHN
INTERIM TREASURER, CNEHA, INC.40.00$160,923$0$9,533Yes (X)
BROWN DOUGLAS S
SECRETARY, UMM HEALTH CARE, INC., DIRECTOR VARIOUS40.00$522,283$0$118,620Yes (X)
CROTEAU MAUREEN
SECRETARY, CLINTON HOSPITAL ASSOC.40.00$54,530$0$23,177Yes (X)
D'AMBRA ANN-MARIA
SECRETARY, MARLBOROUGH HOSPITAL40.00$49,703$0$23,453Yes (X)
EKSTROM DEBORAH
PRESIDENT, COMMUNITY HEALTHLINK, INC.40.00$230,448$0$77,223Yes (X)
FELDMANN ROBERT
TREASURER UNTIL 7/7/14, CRIR, INC.40.00$277,239$0$77,055Yes (X)
GREENWOOD JOHN
TREASURER, UMM ACO, INC.40.00$249,919$0$57,516Yes (X)
MCCUE STEVEN
TREASURER, MARLBOROUGH HOSPITAL40.00$183,669$0$33,143Yes (X)
MORABITO NANCY E
SECRETARY UNTIL 3/28/13, CLINTON HOSPITAL ASSOC.32.00$46,509$0$3,847Yes (X)
MORIN LYNN A
SECRETARY, CNEHA, INC.40.00$89,693$0$7,133Yes (X)
O'BRIEN WILLIAM
SECRETARY, UMBHS, INC.40.00$118,133$0$40,517Yes (X)
OLSON JEFFREY
TREASURER, CLINTON HOSPITAL ASSOC.40.00$154,309$0$27,708Yes (X)
SHAKMAN ALICE
PRESIDENT, CMMIC, INC.40.00$292,804$0$54,868Yes (X)
SMITH FRANCIS W
CLERK, UMM HEALTH VENTURES, INC.40.00$216,182$0$35,237Yes (X)
STREETER MICHELE
TREASURER, UMM MED GROUP, INC.40.00$458,350$0$75,248Yes (X)
ANDERSON MILTON
SR. VP, CHIEF HR OFFICER UNTIL 9/1440.00$543,659$0$869,300Yes (X)
BOLLAND ESHGHI KATHARINE
VP, DEPUTY GENERAL COUNSEL40.00$336,169$0$103,002Yes (X)
BRENCKLE GEORGE PHD
SR. VP, CHIEF INFORMATION OFFICER UNTIL 4/1440.00$364,827$0$684,908Yes (X)
CYR JAMES P
SR VP, HEART AND VASCULAR DISEASES40.00$268,556$0$80,115Yes (X)
DALEY JENNIFER MD
EXECUTIVE VP, CHIEF OPERATING OFFICER, UNTIL 3/18/40.00$689,045$0$176,018Yes (X)
DAY THERESE
VP, FINANCE / CFO OF MED CENTER40.00$323,865$0$79,888Yes (X)
DIAMOND VICTORIA
SR. VP, OPERATIONS, UNTIL 1/1440.00$310,410$0$507,670Yes (X)
FISHER BARBARA
SR VP, OPERATIONS40.00$270,015$0$104,607Yes (X)
HUDLIN MARGARET MD
CHIEF MED OFFICER/VP PERIOPERATIVE SVCS40.00$320,214$0$52,711Yes (X)
HYLKA SHARON
SR. VP, HOSPITAL ADMIN UNTIL 1/1440.00$368,190$0$598,084Yes (X)
KLUGMAN ROBERT A MD
CHIEF QUALITY OFFICER, UNTIL 9/30/1340.00$358,783$0$62,384Yes (X)
PHILLIPS ROBERT A MD
MED DIR, HEART & VASCULAR COE, UNTIL 6/7/1340.00$366,763$0$125,872Yes (X)
RANDOLPH JOHN
CHIEF COMPLIANCE OFFICER40.00$218,534$0$59,546Yes (X)
THOMPSON DIANE
SR. VP, CHIEF NURSING OFFICER40.00$222,088$0$107Yes (X)
IITSUKA CARLOS
SR. VP, STRATEGY & BUSINESS DEVELOPMENT40.00$0$0$0Yes (X)
TAM STANLEY MD
PHYSICIAN, CHIEF OF CARDIOTHORACIC SURGERY30.00$725,274$0$41,260Yes (X)
LITWIN DEMETRIUS MD
PHYSICIAN, CHAIR OF SURGERY DEPT27.00$644,629$0$41,678Yes (X)
BOZORGZADEH ADEL MD
PHYSICIAN, CHIEF OF ORGAN TRANSPLANTATION32.00$641,376$0$41,466Yes (X)
AYERS DAVID C MD
PHYSICIAN, CHAIR OF ORTHOPEDICS AND PHYSICAL REHAB33.00$621,324$0$40,800Yes (X)
BUSCONI BRIAN D MD
PHYSICIAN, CHIEF OF ORTHOPEDICS33.00$608,074$0$38,986Yes (X)
POLANOWICZ JOHN
FORMER PRESIDENT UNTIL 5/6/11, MARLBOROUGH HOSPITA0.00$217,576$0$0Yes (X)
BERGAN THOMAS
FORMER PRESIDENT UNTIL 10/31/11, CMMIC, INC.0.00$147,085$0$2,829Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$27,097,691TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$458,662TotReportableCompRltdOrgAmt
Total Other Compensation$8,121,089TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2617IndivRcvdGreaterThan100KCnt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
XEROX BUSINESS SVCS LLC
PO BOX 201322DALLASTX75320I/S MANAGEMENT SERVICES$24,204,309
TURNER CONSTRUCTION
2 SEAPORT LANEBOSTONPA02210SEE FOOTNOTE A$7,936,272
MCKINSEY & CO INC US
PO BOX 7247-7255PHILADELPHIAMA19170CONSULTING SERVICES$5,575,000
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102299ATLANTAGA30368DIETARY MANAGEMENT SERVICE$5,456,955
ARUP LABORATORIES INC
50 CHIPETA WAYSALT LAKE CITYUT84108LAB PROCESSING SERVICE$4,267,151
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K164CntrctRcvdGreaterThan100KCnt
Federated Campaigns$80,100FederatedCampaignsAmt
Fundraising$582,303FundraisingAmt
Related Organizations$493,916RelatedOrganizationsAmt
Government Grants$6,603,979GovernmentGrantsAmt
All Other Contributions$3,927,085AllOtherContributionsAmt
Noncash Contributions$168,946NoncashContributionsAmt
Total Contributions$11,687,383TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE RE900099$1,891,144,455$1,891,144,455
SPECIAL MEDICAID PAYME900099$240,000,001$240,000,001
SYSTEM ALLOCATION REVE900099$175,338,716$175,338,716
AFFILIATE RELATED PROG900099$161,925,320$161,925,320
OTHER PSR & JV900099$38,701,793$38,701,793

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,092,423TotalRevenueColumnAmt
Related Or Exempt Func Income$32,092,423RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,539,202,708TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,293,717TotalRevenueColumnAmt
Related Or Exempt Func Income$35,059RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$4,860UnrelatedBusinessRevenueAmt
Exclusion$9,263,518ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,141TotalRevenueColumnAmt
Exclusion$72,141ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,967,135RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$292,374RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,674,761RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,674,761TotalRevenueColumnAmt
Related Or Exempt Func Income$1,839,015RelatedOrExemptFuncIncomeAmt
Exclusion$1,835,746ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$327,398,201SecuritiesAmt
Other$28,682,789OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$304,277,287SecuritiesAmt
Other$13,698,701OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$23,120,914SecuritiesAmt
Other$14,984,088OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,105,002TotalRevenueColumnAmt
Related Or Exempt Func Income$175RelatedOrExemptFuncIncomeAmt
Exclusion$38,104,827ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$389,867FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$582,303ContriRptFundraisingEventAmt
Fundraising Direct Expenses$455,346FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$65,479TotalRevenueColumnAmt
Exclusion-$65,479ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
OTHER REVENUE900099$6,926,831$1,219,007$1,401,374$4,306,450
LAB OUTREACH PROGRAM621500$1,397,551$1,397,551
SUBLEASE INCOME900099-$72,621-$72,621
FieldValueIRS element (for citing)
Other Revenue Total$8,251,761OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,610,221,994TotalRevenueColumnAmt
Related Or Exempt Func Income$2,542,295,964RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,794,065UnrelatedBusinessRevenueAmt
Exclusion$53,444,582ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,864,353TotalAmt
Program Services$4,864,353ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$75,914TotalAmt
Program Services$75,914ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$30,919,103TotalAmt
Program Services$13,082,570ProgramServicesAmt
Management And General$17,836,533ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$976,038,165TotalAmt
Program Services$788,433,042ProgramServicesAmt
Management And General$187,221,300ManagementAndGeneralAmt
Fundraising$383,823FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$69,770,540TotalAmt
Program Services$56,601,909ProgramServicesAmt
Management And General$13,163,463ManagementAndGeneralAmt
Fundraising$5,168FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$145,292,191TotalAmt
Program Services$112,234,490ProgramServicesAmt
Management And General$33,029,770ManagementAndGeneralAmt
Fundraising$27,931FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$70,482,920TotalAmt
Program Services$55,862,755ProgramServicesAmt
Management And General$14,604,825ManagementAndGeneralAmt
Fundraising$15,340FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$461,214TotalAmt
Program Services$42,050ProgramServicesAmt
Management And General$419,164ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,486,322TotalAmt
Program Services$71,731ProgramServicesAmt
Management And General$1,414,591ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$977,004TotalAmt
Program Services$35ProgramServicesAmt
Management And General$976,969ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$229,322TotalAmt
Program Services$229,322ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$301,241TotalAmt
Fundraising$301,241FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,032,187TotalAmt
Management And General$1,032,187ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$51,341,403TotalAmt
Program Services$39,389,520ProgramServicesAmt
Management And General$11,834,868ManagementAndGeneralAmt
Fundraising$117,015FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,755,913TotalAmt
Program Services$397,277ProgramServicesAmt
Management And General$1,332,680ManagementAndGeneralAmt
Fundraising$25,956FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$53,478,128TotalAmt
Program Services$15,354,711ProgramServicesAmt
Management And General$38,110,314ManagementAndGeneralAmt
Fundraising$13,103FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,337,164TotalAmt
Program Services$2,730,609ProgramServicesAmt
Management And General$606,555ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$82,381,326TotalAmt
Program Services$50,307,206ProgramServicesAmt
Management And General$32,071,473ManagementAndGeneralAmt
Fundraising$2,647FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,491,733TotalAmt
Program Services$1,966,288ProgramServicesAmt
Management And General$525,370ManagementAndGeneralAmt
Fundraising$75FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,135,817TotalAmt
Program Services$765,760ProgramServicesAmt
Management And General$369,052ManagementAndGeneralAmt
Fundraising$1,005FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$16,335,861TotalAmt
Program Services$15,870,032ProgramServicesAmt
Management And General$465,829ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$91,909,634TotalAmt
Program Services$70,375,194ProgramServicesAmt
Management And General$21,534,440ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$53,019,350TotalAmt
Program Services$24,190,602ProgramServicesAmt
Management And General$28,828,748ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PURCHASED SERVICES$328,181,469$225,568,092$102,527,632$85,745
MEDICAL SUPPLIES$240,830,784$196,865,408$43,965,376
MEDICAL EDUCATION SERVI$163,750,001$163,417,950$332,051
SYSTEM OVERHEAD ACTIVIT$120,121,816$74,120,503$46,001,313

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$31,799,880TotalAmt
Program Services$21,744,716ProgramServicesAmt
Management And General$9,985,980ManagementAndGeneralAmt
Fundraising$69,184FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,543,800,755TotalAmt
Program Services$1,934,562,039ProgramServicesAmt
Management And General$608,190,483ManagementAndGeneralAmt
Fundraising$1,048,233FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$88,620,545BOYAmt
EOY$91,339,673EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$68,336,977BOYAmt
EOY$51,569,765EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,360,031BOYAmt
EOY$1,221,500EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$285,713,717BOYAmt
EOY$262,415,754EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$4,195,940BOYAmt
EOY$4,432,374EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$32,068,443BOYAmt
EOY$41,989,817EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$25,006,123BOYAmt
EOY$24,740,080EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$20,405,576BOYAmt
EOY$23,751,081EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,610,954,552LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$993,983,486LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$695,523,734BOYAmt
EOY$616,971,066EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$453,010,564BOYAmt
EOY$459,751,041EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$129,979,998BOYAmt
EOY$164,159,185EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$48,616,496BOYAmt
EOY$35,417,054EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$568,745BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$298,301,685BOYAmt
EOY$364,656,197EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,152,708,574BOYAmt
EOY$2,142,414,587EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$307,010,702BOYAmt
EOY$277,838,208EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
EOY$584,353EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,747,258BOYAmt
EOY$9,420,067EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$354,202,240BOYAmt
EOY$340,791,673EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$71,017,624BOYAmt
EOY$45,087,007EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$27,491,001BOYAmt
EOY$32,590,236EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$491,997,043BOYAmt
EOY$529,651,940EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,262,465,868BOYAmt
EOY$1,235,963,484EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$729,998,071BOYAmt
EOY$741,359,678EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$80,424,280BOYAmt
EOY$86,449,119EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$79,820,355BOYAmt
EOY$78,642,306EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$890,242,706BOYAmt
EOY$906,451,103EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,152,708,574BOYAmt
EOY$2,142,414,587EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$66,421,239ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,826,783NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$45,386,059OtherChangesInNetAssetsAmt
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$168,338GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies DemonstrationsYes (1)RalliesDemonstrationsInd
Rallies Demonstrations$60,984RalliesDemonstrationsAmt
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$229,322TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$98,561,352BeginningYearBalanceAmt
Contributions$1,245,442ContributionsAmt
Investment Earnings Or Losses$5,785,214InvestmentEarningsOrLossesAmt
Other Expenditures$1,574,250OtherExpendituresAmt
End Year Balance$104,017,758EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.68000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.32000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,629,645OtherCostOrOtherBasisAmt
Book Value$15,629,645BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$833,637,012OtherCostOrOtherBasisAmt
Depreciation$489,830,840DepreciationAmt
Book Value$343,806,172BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,378,136OtherCostOrOtherBasisAmt
Depreciation$13,435,108DepreciationAmt
Book Value$9,943,028BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$709,550,207OtherCostOrOtherBasisAmt
Depreciation$486,892,951DepreciationAmt
Book Value$222,657,256BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,759,552OtherCostOrOtherBasisAmt
Depreciation$3,824,587DepreciationAmt
Book Value$24,934,965BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$616,971,066TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (14 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
TIFF ABSOLUTE RETURN POOL (6,291 SHARES)$28,503,832F
TIFF PRIVATE EQUITY PARTNERS 2006 (2,390,322 SHARES)$2,390,322F
FRANK RUSSELL GLOBAL PRIVATE EQUITY FUND (287,046 SHARES)$287,046F
BENEFICIAL INTEREST IN TRUSTS$73,103,922F
AETOS CAPITAL LONG/SHORT STRATEGIES (70,908 SHARES)$8,174,982F
AETOS CAPITAL DISTRESSED INV STRATEGIES (23,360 SHARES)$3,567,615F
AETOS CAPITAL MULTI-STRATEGY ARBITRAGE (39,011 SHARES)$4,796,637F
MPPLTD/PORTFOLIO CLASS A (1,211 SHARES)$46,469F
TIFF ABSOLUTE RETURN POOL CLASS C (3,876 SHARES)$8,055,517F
OMEGA OVERSEAS (132,985 SHARES)$22,245,419F
GSO SPECIAL SITUATIONS (10,000 SHARES)$10,235,000F
TOURMALET MATAWIN OFFSHORE FUND VI LP (2,204,110 SHS)$2,204,110F
EASTWARD CAPITAL PARTNERS VI LP (428,314 SHARES)$428,314F
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD$120,000F
FieldValueIRS element (for citing)
Total Book Value Securities$164,159,185TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED PARTIES$121,611,051
CSV LIFE INSURANCE$30,897
MALPRACTICE TAIL COVERAGE$30,372,295
LONG TERM SECURITY DEPOSITS$207,722
OTHER NON-CURRENT ASSETS$171,841
RECEIVABLE FROM MEDICAID$196,624,109
DUE FROM THIRD PARTIES$15,638,282
FieldValueIRS element (for citing)
Total Book Value Other Assets$364,656,197TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)

DescDescAmtAmt
DUE TO UMASS MEDICAL SCHOOL$66,763,991
THIRD PARTY LIABILITIES$55,678,833
DUE TO RELATED PARTIES$118,299,962
ACCRUED PENSION POST RETIREMENT BENEFITS$207,794,697
O/S LOSS RESERVES$32,733,688
ESTIMATED MALPRACTICE COSTS$30,372,295
OTHER$1,953,747
ANNUITY PAYABLE$2,483,332
LT LIABILITY ARO$9,983,450
ACCRUED LT LIABILITIES$3,468,820
CLAIMS RESERVES$89,125
MEDICARE RESERVES$30,000
FieldValueIRS element (for citing)
Total Liability$529,651,940TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:FIN 48 (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):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. BYN 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. BYN 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.

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 Acty0AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1UMASS MEMORIAL FOUNDATION INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 SOUTH STREETAddressLine1
CitySHREWSBURYCity
StateMAState
ZIP Code01545ZIPCode
FieldValueIRS element (for citing)
ActivityFUNDRAISINGActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$1,741,228GrossReceiptsAmt
Retained By Contractor$301,241RetainedByContractorAmt
Net To Organization$1,439,987NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$1,741,228TotalGrossReceiptsAmt
Total Retained By Contractors$301,241TotalRetainedByContractorsAmt
Total Net To Organization$1,439,987TotalNetToOrganizationAmt
Licensed StatesMALicensedStatesCd
Licensed StatesNHLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1PARENT-WINTER BALLNameOfEvent1Amt
Gross Receipts Event1$361,450GrossReceiptsEvent1Amt
Charitable Contri Event1$247,634CharitableContriEvent1Amt
Gross Revenue Event1$113,816GrossRevenueEvent1Amt
Other Direct Expenses Event1$113,816OtherDirectExpensesEvent1Amt
Name Of Event2CNEHA GOLF TOURNAMENTNameOfEvent2Amt
Gross Receipts Event2$245,907GrossReceiptsEvent2Amt
Charitable Contri Event2$110,269CharitableContriEvent2Amt
Gross Revenue Event2$135,638GrossRevenueEvent2Amt
Non Cash Prizes Event2$27,538NonCashPrizesEvent2Amt
Rent Facility Costs Event2$98,062RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$22,065OtherDirectExpensesEvent2Amt
Other Events Total10OtherEventsTotalCnt
Gross Receipts Other Events$364,813GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$224,400CharitableContriOtherEventsAmt
Gross Revenue Other Events$140,413GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$18,452NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$19,955RentFcltyCostsOtherEventsAmt
Entertainment Other Events$7,500EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$147,958OthDirectExpnssOtherEventsAmt
Gross Receipts Total$972,170GrossReceiptsTotalAmt
Charitable Contributions Tot$582,303CharitableContributionsTotAmt
Gross Revenue Total Events$389,867GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$45,990NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$118,017RentFcltyCostsTotalEventsAmt
Entertainment Total Events$7,500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$283,839OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$455,346DirectExpenseSummaryEventsAmt
Net Income Summary-$65,479NetIncomeSummaryAmt

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 HEALTH ALLIANCE HOME HEALTH AND HOSPICE, INC. 3. LOVELIGHT HELD BY HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. 4. TEE UP FOR TOTS GOLF TOURNAMENT WAS HELD BY THE PARENT 5. LINKS TO THE FUTURE EVENT WAS HELD BY THE PARENT, 6. GOLF TOURNAMENT WAS HELD BY MARLBOROUGH HOSPITAL, INC. 7. SPANISH FOR KIDS HELD BY COMMUNITY HEALTHLINK. 8. MARANDA HOUSE MOTHER'S DAY FUNDRAISER WAS HELD BY COMMUNITY HEALTHLINK 9. DOG WALK PAWS FOR CAUSE WAS HELD BY COMMUNITY HEALTHLINK, AND 10. 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$38,040,739TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,431,653DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,609,086NetCommunityBenefitExpnsAmt
Total Expense0.00890TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$324,419,180TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$293,624,509DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,794,671NetCommunityBenefitExpnsAmt
Total Expense0.01750TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,164,562TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,146,549DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,018,013NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$392,624,481TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$344,202,711DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,421,770NetCommunityBenefitExpnsAmt
Total Expense0.02750TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,511,152TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,395,288DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,115,864NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$223,630,447TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$151,469,450DirectOffsettingRevenueAmt
Net Community Benefit Expns$72,160,997NetCommunityBenefitExpnsAmt
Total Expense0.04110TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$88,217,094TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,849,933DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,367,161NetCommunityBenefitExpnsAmt
Total Expense0.00650TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,276,827TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,750DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,211,077NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,260,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,780,304DirectOffsettingRevenueAmt
Net Community Benefit Expns$479,696NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$319,895,520TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$233,560,725DirectOffsettingRevenueAmt
Net Community Benefit Expns$86,334,795NetCommunityBenefitExpnsAmt
Total Expense0.04920TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$712,520,001TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$577,763,436DirectOffsettingRevenueAmt
Net Community Benefit Expns$134,756,565NetCommunityBenefitExpnsAmt
Total Expense0.07670TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,563TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,563NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,548TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,548NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$202,403TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$202,403NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$212,514TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$212,514NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,743,675BadDebtExpenseAmt
Bad Debt Expense Attributable$3,670,196BadDebtExpenseAttributableAmt
Reimbursed By Medicare$340,169,164ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$364,432,400CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$24,263,236MedicareSurplusOrShortfallAmt

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 (14 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 REHABILITATION SERVICES OF CENTRAL MASSACHUSETTS INC
ACUTE CARE REHABILITATION FACILITY0.200000.000000.00000
8 BIO LABS INC
CLINICAL LABORATORY1.000000.000000.00000
9 HEALTHALLIANCE WITH PHYSICIANS INC
PHYSICIAN ALLIANCE0.500000.000000.00000
10 SHIELDS IMAGING OF MASSACHUSETTS LLC
MANAGEMENT COMPANY FOR PET IMAGING0.250000.000000.00000
11 UMASS MEMORIAL SHIELDS PHARMACY LLC
PHARMACY SERVICES0.500000.000000.00000
12 116 BELMONT STREET INC
CONDO ASSOCIATION0.630400.000000.00000
13 SHIELDS SPECIALTY PHARMACY OF SPRINGFIELD LLC
PHARMACY SERVICES0.500000.000000.00000
14 SPECIALTY PHARMACY OF NEWARK
PHARMACY SERVICES0.500000.000000.00000
FieldValueIRS element (for citing)
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeLicensed 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)

FacilityFacilityNumCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtRpt Available Upon RequestRptAvailableUponRequestIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndAdopt Implementation StrategyAdoptImplementationStrategyIndExec Implementation StrategyExecImplementationStrategyIndDevelop Community Wide PlanDevelopCommunityWidePlanIndExec Community Wide PlanExecCommunityWidePlanIndInclude Operational PlanIncludeOperationalPlanIndAdopt BudgetAdoptBudgetIndPrioritize Health NeedsPrioritizeHealthNeedsIndPrioritize ServicesPrioritizeServicesIndAll Needs AddressedAllNeedsAddressedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareIndFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctExplained BasisExplainedBasisIndIncome LevelIncomeLevelIndInsurance StatusInsuranceStatusIndUninsured DiscountUninsuredDiscountIndState RegulationStateRegulationIndOther FactorsOtherFactorsIndApp Financial Asst ExplnAppFinancialAsstExplnIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndPosted On WebsitePostedOnWebsiteIndAttached To InvoiceAttachedToInvoiceIndPosted In Emergency RoomPostedInEmergencyRoomIndPosted In Admission OfficePostedInAdmissionOfficeIndProvided On AdmissionProvidedOnAdmissionIndAvailable On RequestAvailableOnRequestIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit Other ActionsPermitOtherActionsIndCollection ActivitiesCollectionActivitiesIndOther ActionsOtherActionsIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndOtherOtherIndOther PublicityOtherPublicityIndOther Actions TakenOtherActionsTakenInd
UMASS MEMORIAL MEDICAL CENTER INC
1Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)0Yes (1)Yes (X)WWW.UMASSMEMORIALHEALTHCARE.ORG/Yes (X)WWW.WORCESTERMA.GOV/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)00Yes (1)Yes (1)200.000000000000Yes (1)600.000000000000Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)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
2Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)00Yes (1)Yes (1)200.000000000000Yes (1)600.000000000000Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)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)Yes (X)Yes (X)Yes (X)
MARLBOROUGH HOSPITAL
3Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)13Yes (1)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)00Yes (1)Yes (1)200.000000000000Yes (1)600.000000000000Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)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
4Yes (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 (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)00Yes (1)Yes (1)200.000000000000Yes (1)600.000000000000Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)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 (33 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
UMASS MEMORIAL MEDICAL CENTER, INC.PART V, SECTION B, LINE 3: 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) 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 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. TEN COMMUNITY DIALOGUE SESSIONS WERE HELD: FIVE SESSIONS IN WORCESTER, AND FIVE IN THE OUTLYING COMMUNITIES (ONE EACH IN SHREWSBURY, MILLBURY, WEST BOYLSTON, LEICESTER, AND HOLDEN). MORE THAN A TOTAL OF 3,000 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. OUR COMMUNITY BENEFITS PLAN ALIGNS WITH THE CHIP.
HEALTHALLIANCE HOSPITAL, INC.PART V, SECTION B, LINE 3: 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. THIS ASSESSMENT WAS A JOINT EFFORT OF THE JOINT COALITION ON HEALTH (JCOH) AND THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH'S COMMUNITY HEALTH NETWORK AREA (CHNA 9), WHICH ALSO INCLUDES HEYWOOD HOSPITAL AND CLINTON HOSPITAL. A COMMUNITY HEALTH ASSESSMENT WAS CONDUCTED IN FY11 SO A COORDINATED PLAN HAS PRIORITIZED THE NEEDS OF THE COMMUNITY.
MARLBOROUGH HOSPITALPART V, SECTION B, LINE 3: 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 3: CLINTON HOSPITAL HAS BEEN INVOLVED IN THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHA) AND UTILIZES THE INFORMATION IN THE CHA TO COLLABORATE WITH OTHER COMMUNITY BASED ORGANIZATIONS, SCHOOLS, DIVERSE STAKEHOLDERS, AND MEMBERS OF THE COMMUNITY TO ADOPT IMPLEMENTATION STRATEGIES THAT ADDRESS THE UNMET HEALTH NEEDS OF THE HOSPITAL'S CATCHMENT AREA.
HEALTHALLIANCE HOSPITAL, INC.PART V, SECTION B, LINE 4: HEALTHALLIANCE HOSPITAL DID A COMMUNITY NEEDS ASSESSMENT WITH CLINTON HOSPITAL AND HEYWOOD HOSPITAL. LINK:HTTP:WWW.UMASSMEMORIALHEALTHCARE.ORG/SITES/UMASS-MEMORIAL-HOSPITAL/FILES/DOCUMENTS/PATIENTS_VISITORS/HEALTHALLIANCE%20HOSPITAL%20BENEFITS%20PLAN%20FY13-FY14%20FINAL.PDF
MARLBOROUGH HOSPITALPART V, SECTION B, LINE 4: THE ASSESSMENT WAS DONE IN CONJUNCTION WITH THE METRO WEST MEDICAL CENTER.
CLINTON HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 4: THE CHA WORK WAS COMPLETED WITH THE COMBINED EFFORTS OF THE MINORITY COALITION OF NORTH CENTRAL MASSACHUSETTS, THE SPANISH AMERICAN CENTER, CLEGHORN NEIGHBORHOOD CENTER, WHEAT, THREE PYRAMIDS, BEAUTIFUL GATE CHURCH, NEW HOPE COMMUNITY CHURCH, TWIN CITIES CDC, GARDNER CDC, MEMORIAL CONGREGATIONAL CHURCH, CMAHEC, MONTACHUSETT OPPORTUNITY COUNCIL AND MANY OTHER AGENCIES, INDIVIDUALS, AND THE FOLLOWING HOSPITALS; HEYWOOD HOSPITAL, HEALTHALLIANCE HOSPITAL, CLINTON HOSPITAL. TOGETHER, THESE ENTITIES HAVE CAPITALIZED ON THEIR COMPLEMENTARY EXPERTISE AND HAVE PRODUCED A DOCUMENT THAT CAN BE USED BY STAKEHOLDERS FROM EVERY SECTOR OF THE COMMUNITY TO BETTER THE HEALTH AND WELFARE OF RESIDENTS OF NORTH CENTRAL MASSACHUSETTS.
UMASS MEMORIAL MEDICAL CENTER, INC.PART V, SECTION B, LINE 5D: THE CHNA WAS PUBLICALLY 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, CEO OF UMASS MEMORIAL HEALTH CARE AND THE UMASS MEMORIAL VICE PRESIDENT OF COMMUNITY RELATIONS. IN ADDITION, PRESENTATIONS HAVE BEEN MADE TO DIFFERENT GROUPS INCLUDING PHILANTHROPIC ORGANIZATIONS, PHYSICIANS AND STUDENTS AT UMASS MEDICAL SCHOOL AND THROUGH ON-GOING COMMUNITY ENGAGEMENT ACTIVITIES AND DISSEMINATION THROUGH COMMON PATHWAYS HEALTHY COMMUNITIES COALITION. THE HOSPITAL AND WDPH ALSO ENGAGED IN VARIOUS MEDIA VENUES INCLUDING; PRINT AND ONLINE ARTICLES IN LOCAL NEWS AND COMMUNITY NEWSPAPERS, RADIO, PANEL DISCUSSIONS/INTERVIEWS TELEVISED ON WCCATV13 AND A FOCUS ISSUE OVERVIEWING EACH CHIP DOMAIN AREA.
HEALTHALLIANCE HOSPITAL, INC.PART V, SECTION B, LINE 5D: 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.
MARLBOROUGH HOSPITALPART V, SECTION B, LINE 5D: INTERNAL COMMUNICATION WAS THROUGH MARLBOROUGH HOSPITAL'S EMPLOYEE NEWSLETTER AND PRESENTATIONS TO GROUPS INCLUDING MANAGEMENT MEETINGS AND BOARD OF TRUSTEES. EXTERNAL COMMUNICATION WAS DONE BY PRESS RELEASE, POSTING ON MARLBOROUGH HOSPITAL'S WEB SITE AND FACEBOOK PAGE, AND A SUMMARY BOOKLET WAS DEVELOPED. HIGHLIGHTS OF THE INFORMATION WILL BE ALSO BE PUBLISHED IN THE ANNUAL UMASS MEMORIAL HEALTH CARE, INC. COMMUNITY BENEFIT REPORT. LINK TO COMMUNITY NEEDS ASSESSMENT:HTTP://WWW.UMASSMEMORIALHEALTHCARE.ORG/SITES/UMASS-MEMORIAL-HOSPITAL/FILES/DOCUMENTS/PATIENTS_VISITORS/MARLBOROUGH-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-FOR-MARLBOROUGH-AND-HUDSON---SEPTEMBER-2013.PDF
CLINTON HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 5D: THE COMMUNITY HEALTH ASSESSMENT (CHA) IS AVAILABLE ON CLINTON HOSPITAL, THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH'S COMMUNITY HEALTH NETWORK AREA OF NORTH CENTRAL, AND THE JOINT COALITION ON HEALTH (JCOH) WEBSITES WITH THE AVAILABILITY UPON REQUEST FROM ANY OF THE ORGANIZATIONS MENTIONED. CLINTON HOSPITAL ALSO UNVEILS THE COMMUNITY HEALTH ASSESSMENT TO COMMUNITY GROUPS, COMMUNITY ADVISORY COMMITTEE, AND TO THE BOARD OF TRUSTEES.
UMASS MEMORIAL MEDICAL CENTER, INC.PART V, SECTION B, LINE 7: UMASS MEMORIAL MEDICAL CENTER'S COMMUNITY BENEFITS PLAN FUNDS AND SUPPORTS PROGRAMS AND EFFORTS THAT ADDRESS ALL PRIORITY AREAS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THESE PRIORITY AREAS ALIGN WITH THE GREATER WORCESTER COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) COMPLETED IN COLLABORATION WITH THE WORCESTER DIVISION OF PUBLIC HEALTH AND WIDE COMMUNITY INPUT.
HEALTHALLIANCE HOSPITAL, INC.PART V, SECTION B, LINE 7: 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 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.
MARLBOROUGH HOSPITALPART V, SECTION B, LINE 7: 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.
CLINTON HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 7: 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 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.
HEALTHALLIANCE HOSPITAL, INC.PART V, SECTION B, LINE 14G: 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.
UMASS MEMORIAL MEDICAL CENTER, INC.PART V, SECTION B, LINE 16E: 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 16E: 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 16E: 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 16E: 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 17E: 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 17E: 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 17E: 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 17E: 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 18E: 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 20D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.
HEALTHALLIANCE HOSPITAL, INC.PART V, SECTION B, LINE 20D: 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 20D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.
CLINTON HOSPITAL ASSOCIATIONPART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.
UMASS MEMORIAL MEDICAL CENTER, INC.PART V, SECTION B, LINE 22: 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 22: 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 22: 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 22: CLINTON CHARGES ALL PATIENTS THE PUBLISHED CHARGE. WHEN THE PATIENT HAS BEEN DETERMINED FOR A DISCOUNT, THE DISCOUNT IS THEN APPLIED TO THE TOTAL CHARGE, AND THE AMOUNT OWED BY THE GUARANTOR IS NOW REDUCED.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
UMASS MEMORIAL LABORATORIES
BIOTECH ONE 365 PLANTATION STREETWORCESTERMA01605SATELLITE - LAB SERVICES
UMASS MEMORIAL MED CENTER(PATHOLOGY)
BIOTECH THREE ONE INNOVATION DRIVEWORCESTERMA01605SATELLITE - PATHOLOGY SERVICES
UMASS MEMORIAL MED CENTER AMBULANCE
23 WELL STREETWORCESTERMA01604SATELLITE - AMBULATORY SERVICES
UMASS MEMORIAL MED CENTER AMBULANCE
100 PROVIDENCE STREETWORCESTERMA01604SATELLITE - AMBULATORY SERVICES

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, COMMUNITY BUILDING ACTIVITIES:UMASS MEMORIAL MEDICAL CENTER RECOGNIZES COMMUNITY BUILDING ACTIVITIES AS BEING A PART OF THE "SOCIAL DETERMINANTS OF HEALTH" THAT IMPACT THE HEALTH OF THE COMMUNITY. WE INVEST IN EDUCATIONAL COLLABORATIVES, COALITION BUILDING AND ADVOCACY EFFORTS, WORKFORCE DEVELOPMENT AND PROGRAMS THAT SUPPORT YOUTH WHO ARE AT RISK OF DEVELOPING POOR AND RISKY HEALTH BEHAVIORS AND ARE EXPERIENCING VIOLENCE DUE TO POVERTY. WE ALSO INVEST IN ENVIRONMENTAL AND PHYSICAL IMPROVEMENT PROGRAMS SUCH AS BEAUTIFICATION OF LOW-INCOME NEIGHBORHOOD PARKS TO ENABLE ACCESS TO SAFE PLAYGROUNDS THAT PROMOTE PHYSICAL ACTIVITY AS A WAY TO REDUCE OBESITY. THESE PROGRAMS ARE BASED ON OUR COMMUNITY BENEFITS MISSION WHICH WAS RECOMMENDED BY A COMMUNITY BENEFITS ADVISORY COMMITTEE AND DRAWS INSPIRATION FROM THE WORLD HEALTH ORGANIZATION'S BROAD DEFINITION OF HEALTH, AS A "AS STATE OF COMPLETE, PHYSICAL, MENTAL AND SOCIAL WELL BEING AND NOT MERELY THE ABSENCE OF DISEASE." BY ADOPTING THIS DEFINITION, UMASS MEMORIAL MEDICAL CENTER HAS EXPANDED ITS STRATEGY TO INCLUDE THE SOCIAL AND ECONOMIC OBSTACLES THAT PREVENT PEOPLE FROM ACHIEVING OPTIMAL HEALTH. ALL OF OUR COMMUNITY BUILDING ACTIVITIES ARE THE RESULT OF AN IDENTIFIED NEED AND ENGAGE THE COMMUNITY. THEY INCLUDE COLLABORATIVE EFFORTS, ADVOCACY ACTIVITIES AND PARTNERSHIPS THAT ENGAGE A BROAD ARRAY OF COMMUNITY STAKEHOLDERS IN ADDRESSING THESE UNMET SOCIAL DETERMINANTS OF HEALTH.EXAMPLES INCLUDE:- FUNDING AND PROMOTING WORKFORCE AND HEALTH CAREER DEVELOPMENT OPPORTUNITIES FOR INNER-CITY YOUTHHEALTHALLIANCE HOSPITAL: FOR WORKFORCE DEVELOPMENT HEALTHALLIANCE HAS PROVIDED FINANCIAL ASSISTANCE THROUGH PROCEEDS FROM THE ANNUAL GOLF TOURNAMENT 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.
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 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, FAITH-BASED ORGANIZATIONS 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:- CONDUCT KEY INFORMANT INTERVIEWS AND FOCUS GROUPS WITH COMMUNITY-BASED ORGANIZATIONS AND RESIDENTS- CONDUCT OUTREACH EFFORTS TO MEDICALLY-UNDERSERVED POPULATIONS AND CONVENE MEETINGS WITH NEIGHBORHOOD/COMMUNITY GROUPS- REVIEWED PRIMARY AND SECONDARY DATA- CONDUCT 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 ASSESSMENT PROCESS CONSISTED OF COMPREHENSIVE GATHERING OF QUANTITATIVE (I.E. HEALTH STATUS INDICATORS) AND QUALITATIVE DATA, THROUGH FOCUS GROUPS WITH COMMUNITY MEMBERS AND INTERVIEWS WITH COMMUNITY MEMBERS AND COMMUNITY LEADERS. PARTICIPANTS WERE DRAWN FROM AMONG COMMUNITY-BASED, EDUCATIONAL, CIVIC, GOVERNMENTAL, FAITH-BASED PROFESSIONALS, HEALTH CARE PROVIDERS, AND OTHERS, AND EVERY EFFOT WAS MADE TO ENSURE RACIAL/ETHNIC, SOCIOECONOMIC, AND GEOGRAPHIC DIVERSITY IN THE COMPOSITION OF FOCUS GROUPS AND INTERVIEW PARTICIPANTS. THIS ASSESSMENT WAS A JOINT EFFORT OF THE JOINT COALITION ON HEALTH (JCOH) AND THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH'S COMMUNITY HEALTH NETWORK AREA (CHNA 9), WHICH ALSO INCLUDES HEYWOOD HOSPITAL AND CLINTON HOSPITAL. A COMMUNITY HEALTH ASSESSMENT WAS CONDUCTED IN FY11 SO A COORDINATED PLAN HAS PRIORITIZED THE NEEDS OF THE COMMUNITY.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 COMMUNITY COALITION OF METROWEST, EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, BOARDS OF HEALTH FROM MARLBORO AND HUDSON AND THE SOUTHBOROUGH MEDICAL GROUP.CLINTON HOSPITAL:BOTH QUANTITATIVE AND QUALITATIVE DATA WERE COLLECTED FOR THE COMMUNITY HEALTH ASSESSMENT. ALL DATA WERE GATHERED SYSTEMATICALLY UTILIZING THE FOLLOWING STANDARDS OR PRINCIPLES WHICH GUIDED THE METHODOLOGIES AND SOURCE SELECTIONS:1. AVAILABILITY OF MULTIPLE YEARS OF DATA ON STUDY ELEMENTS;2. SPECIFICITY OF DATA TO THE STUDY AREA COMMUNITIES;3. APPROPRIATENESS OF DATA COLLECTION METHODOLOGIES TO THE DATA SOURCE;4. BROAD PARTICIPATION AMOUNG THE STAKEHOLDER POPULATIONS;5. BROAD RANGE OF INPUT FROM QUALITATIVE AND QUANTITATIVE SOURCES.THE MAJORITY OF THE QUANTITATIVE DATA COLLECTED FOR THE CHA CAME FROM THE MASSACHUSETTS COMMUNITY HEALTH INFORMATION PROFILE (MASS CHIP). OTHER SOURCES INCLUDE: THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH; THE UNITED STATES CENSUS BUREAU; THE MASSACHUSETTS DEPARTMENT OF WORKFORCE DEVELOPMENT; THE MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION; AND THE MASSACHUSETTS BEHAVIORAL HEALTH PARTNERSHIP. WHENEVER POSSIBLE, THREE YEARS OF DATA WERE USED FOR EACH MEASURE AND, WHEN FEASIBLE, DATA IS PROVIDED FOR INDIVIDUAL TOWNS.QUALITATIVE DATA WAS ELICITED TO ENHANCE, CLARIFY, AND ADD "COMMUNITY VOICES" AND REAL LIFE EXPERIENCES TO THE QUANTITATIVE DATA INCLUDED IN THE REPORT. QUALITATIVE DATA ALSO PROVIDES A LENS INTO CURRENT CONDITIONS - ECONOMIC AND CULTURAL - WHICH QUANTITATIVE DATA CANNOT DUE TO THE LAGS BETWEEN DATA COLLECTION, REPORTING, AND RETRIEVAL. FOR EXAMPLE, THE QUALITATIVE DATA PRESENTED HERE STRONGLY REFLECTS THE ECONOMIC CRISIS WHICH OCCURRED DURING THE QUALITATIVE DATA COLLECTION PROCESS BUT AFTER MUCH OF THE QUANTITATIVE DATA HAD ALREADY BEEN COLLECTED AND REPORTED.QUALITATIVE DATA FOR THIS ASSESSMENT WAS GATHERED VIA FOCUS GROUPS WITH COMMUNITY MEMBERS AND THROUGH INTERVIEWS WITH COMMUNITY MEMBERS AND COMMUNITY LEADERS. FOCUS GROUPS AND INTERVIEWS WERE CONDUCTED. EVERY EFFORT WAS MADE TO ENSURE RACIAL/ETHIC, SOCIOECONOMIC, AND GEOGRAPHIC DIVERSITY IN THE COMPOSITION OF FOCUS GROUPS AND INTERVIEW PARTICIPANTS.
PART VI, LINE 4:GEOGRAPHICAL REACH: THE 2012 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, AND HOLDEN, A SUB-SECTION OF ITS PRIMARY SERVICE AREA. THIS SPECIFIC GEOGRAPHIC AREA IS THE FOCUS FOR THE CITY OF WORCESTER DIVISION OF PUBLIC HEALTH REGIONALIZATION INITIATIVE, AND OVERLAPS WITH THE SERVICE AREA OF MANY OTHER LOCAL ORGANIZATIONS. FOCUSING UMASS MEMORIALS CHNA ON THIS GEOGRAPHIC AREA FACILITATES THE ALIGNMENT OF THE HOSPITALS 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 COMMUNITY HEALTH AND ASSESSMENT OF NORTH CENTRAL MA INCLUDES THE 27 CITIES AND TOWNS COVERED BY COMMUNITY HEALTH NETWORK AREA 9 (CHNA9), INCLUDING THE CITIES OF FITCHBURG, LEOMINSTER, GARDNER, AND THE TOWNS OF ASHBURNHAM, ASHBY, AYER, BARRE, BERLIN, BOLTON, CLINTON, GROTON, HARDWICK, HARVARD, HUBBARDSTON, LANCASTER, LUNENBERG, NEW BRAINTREE, OAKHAM, PEPPERELL, PRINCETON, RUTLAND, SHIRLEY, STERLING, TEMPLETON, TOWNSEND, WESTMINSTER, AND WINCHENDON. ELEVEN OF THESE CITIES AND TOWNS ARE ALSO WITHIN THE SERVICE AREA. 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 ON HEALTH STATUS, WITH A FOCUS ON HEALTH EQUALITY AND ADDRESSING AND ELIMINATING HEALTH DISPARITIES.CONTINUED ON SCHEDULE O
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.HEALTHALLIANCE HOSPITAL: HEALTHALLIANCE HOSPITAL HAS A COMMUNITY BENEFIT PROGRAM WITHIN THE MARKETING/COMMUNICATIONS DEPARTMENT THAT IS RESPONSIBLE FOR PROMOTING THE COMMUNITY BENEFIT AGENDA FOCUSING ON COMMUNITY HEALTH IMPROVEMENT. OUR COMMUNITY BENEFITS 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 OCCLUSIVE PULMONARY DISEASE (COPD), HEART HEALTH, DEPRESSION, DIABETES, AND MENTAL/BEHAVIORAL HEALTH.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 ASSOCIATION: TARGET POPULATIONS FOR CLINTON HOSPITAL'S COMMUNITY BENEFITS INITIATIVES ARE IDENTIFIED THROUGH A COMMUNITY INPUT AND PLANNING PROCESS, COLLABORATIVE EFFORTS, AND A CHA 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 (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC
19 TACOMA STREETWORCESTERMA01605042513817$1,000,000SUPPORT FOR HEALTH CENTER'S MISSION
FAMILY HEALTH CENTER OF WORCESTER INC
26 QUEEN STREETWORCESTERMA01610042485308$1,000,000SUPPORT FOR HEALTH CENTER'S MISSION
UNIVERSITY OF MA MEDICAL SCHOOL
55 LAKE AVEWORCESTERMA01655043167352$2,000,000ACADEMIC CHAIR FUNDING
UNIVERSITY OF MA MEDICAL SCHOOL
55 LAKE AVEWORCESTERMA01655043167352$200,000MUSCULOSKELETAL CENTER EXCELLENCE GRANT
UNIVERSITY OF MA MEDICAL SCHOOL
55 LAKE AVEWORCESTERMA01655043167352$50,000INTERVENTIONAL NEURORADIOLOGY RESEARCH
UNIVERSITY OF MA MEDICAL SCHOOL
55 LAKE AVEWORCESTERMA01655043167352$30,000COMPLEX AORTIC ANEURYSM REPAIR STUDY
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeINTERNSHIPSGrantTypeTxt
Recipient33RecipientCnt
Cash Grant$75,914CashGrantAmt

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 OCCURS 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 THROCOABDOMINAL 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)
Substantiation RequiredYes (1)SubstantiationRequiredInd
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 (67 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALFRED HOWARD MD
DIRECTOR, UMM ACO, INC.$238,246$0$23,728$0$0$0$13,542$0$11,983$0$287,499$0$0$0
ANDRIENI JULIA MD
DIRECTOR UNTIL 4/2013, UMM MED GROUP$201,374$0$0$0$0$0$1,665$0$10,686$0$213,725$0$0$0
BAGLEY PETER MD
DIRECTOR, UMM ACO, INC.$239,415$0$146,751$0$0$0$25,568$0$28,253$0$439,987$0$0$0
BROWN ALAN P MD
DIRECTOR, UMBHS, INC.$168,038$0$22,550$0$0$0$9,868$0$24,335$0$224,791$0$0$0
CARLUCCI DANIEL MD
DIRECTOR, MARLBOROUGH HOSPITAL$282,117$0$55,259$0$0$0$13,060$0$28,254$0$378,690$0$0$0
CAVAGNARO CHARLES EIII MD
DIRECTOR UNTIL 9/14, UMM HOSPITALS,$0$315,930$0$137,750$0$4,982$0$598,775$0$34,558$0$1,091,995$0$0
COFONE MICHAEL J
TREASURER/DIRECTOR, COORDINATED PRIM$269,145$0$72,332$0$13,194$0$7,369$0$26,126$0$388,166$0$0$0
CORBETT WILLIAM MD
DIRECTOR, MARLBOROUGH HOSPITAL$300,981$0$49,285$0$24,982$0$62,591$0$21,516$0$459,355$0$24,982$0
DALY SHEILA
PRESIDENT, CLINTON HOSPITAL ASSOC.,$205,558$0$20,790$0$0$0$18,095$0$18,759$0$263,202$0$0$0
DICKSON ERIC W MD
PRESIDENT & CEO/DIRECTOR, UMM HEALTH$647,455$0$112,000$0$1,647$0$102,652$0$54,146$0$917,900$0$0$0
DUNCAN DAVID
DIRECTOR, COORDINATED PRIMARY CARE,$160,138$0$35,457$0$7,016$0$6,643$0$22,351$0$231,605$0$0$0
EISENSTOCK JORDAN MD
DIRECTOR, UMM ACO, INC.$135,172$0$34,570$0$19,889$0$9,718$0$23,273$0$222,622$0$0$0
FAIRCHILD DAVID MD
PRESIDENT/DIRECTOR, UMM ACO, INC.$380,776$0$38,824$0$21,172$0$123,478$0$24,802$0$589,052$0$21,172$0
FERGUSON R KEVIN MD
DIRECTOR, UMM MED GROUP, INC.$204,432$0$45,061$0$0$0$12,736$0$24,205$0$286,434$0$0$0
FERRUCCI JOSEPH MD
DIRECTOR UNTIL 3/31/13, CMMIC, INC.$350,002$0$25,514$0$1,385$0$13,096$0$27,457$0$417,454$0$0$0
FINBERG ROBERT W MD
DIRECTOR, UMM HEALTH CARE, INC.$250,236$0$33,498$0$0$0$79,745$0$30,752$0$394,231$0$0$0
GOTTLIEB PHILIP D MD
DIRECTOR UNTIL 12/13, CLINTON HOSPIT$231,396$0$138,943$0$0$0$12,977$0$24,484$0$407,800$0$0$0
HARLAN DAVID MD
DIRECTOR, UMM ACO, INC.$149,645$0$33,000$0$0$0$9,440$0$25,012$0$217,097$0$0$0
KEATING TODD A
TREASURER UNTIL 2/14, UMM HEALTH CAR$478,739$0$57,873$0$39,801$0$881,071$0$16,677$0$1,474,161$0$39,801$0
KENNEDY KATHRYN MD
DIRECTOR, UMM MED GROUP, INC.$221,573$0$80,094$0$7,339$0$12,979$0$28,254$0$350,239$0$0$0
LAPRIORE CHERYL M
PRESIDENT/DIRECTOR, UMM HEALTH VENT$235,835$0$25,281$0$19,807$0$61,342$0$22,314$0$364,579$0$19,807$0
LASSER DANIEL H MD
DIRECTOR, UMM MED GROUP, INC.$206,500$0$40,705$0$0$0$0$0$26,787$0$273,992$0$0$0
MESSINA LOUIS MD
DIRECTOR UNTIL 3/14, UMM MED GROUP,$534,026$0$92,704$0$0$0$32,864$0$28,247$0$687,841$0$0$0
METZMAKER JEFFREY N MD
DIRECTOR, UMM MED GROUP, INC.$296,014$0$139,617$0$0$0$12,750$0$25,747$0$474,128$0$0$0
MOORE KAREN
PRESIDENT/DIRECTOR UNTIL 3/25/13, MA$110,133$0$0$0$247,495$0$57,412$0$25,065$0$440,105$0$258,967$0
MULDOON PATRICK
PRESIDENT, UMM MED CTR, INC.,$451,366$0$58,458$0$35,174$0$119,680$0$32,598$0$697,276$0$35,174$0
NOMPLEGGI DOMINIC MD
DIRECTOR, UMM MED GROUP, INC.$224,938$0$144,270$0$0$0$12,975$0$28,253$0$410,436$0$0$0
O'BRIEN JOHN G
PRESIDENT & CEO UNTIL 2/25/13, UMM H$325,762$0$0$0$3,151,532$0$25,658$0$10,569$0$3,513,521$0$1,879,899$0
OKIKE O NSIDINANYA MD
DIRECTOR, UMM HEALTH CARE, INC.$426,137$0$85,538$0$0$0$13,169$0$27,602$0$552,446$0$0$0
O'LEARY DANIEL MD
DIRECTOR, COORDINATED PRIMARY CARE,$146,707$0$23,875$0$662$0$1,977$0$2,698$0$175,919$0$0$0
ROSEN MAX P MD
DIRECTOR, CMMIC, INC.$367,765$0$35,000$0$0$0$12,750$0$4,211$0$419,726$0$0$0
SWENSON DANA E
PRESIDENT/DIRECTOR, UMM REALTY, INC.$236,445$0$24,294$0$4,905$0$107,418$0$21,514$0$394,576$0$4,905$0
SZYMANSKI CANDRA D
INTERIM PRESIDENT UNTIL 12/13, MARLB$213,601$0$15,667$0$1,527$0$156,400$0$761$0$387,956$0$0$0
TOSI STEPHEN E MD
PRESIDENT, UMM MED GROUP, INC., DIRE$435,312$0$65,638$0$307,598$0$256,909$0$27,230$0$1,092,687$0$232,684$0
ZIEDONIS DOUGLAS MD
PRESIDENT/DIRECTOR, UMBHS, INC.$193,430$0$17,250$0$0$0$10,998$0$28,253$0$249,931$0$0$0
BRONHARD JOHN
INTERIM TREASURER, CNEHA, INC.$149,964$0$10,709$0$250$0$3,099$0$6,434$0$170,456$0$0$0
BROWN DOUGLAS S
SECRETARY, UMM HEALTH CARE, INC., DI$431,069$0$52,526$0$38,688$0$95,114$0$23,506$0$640,903$0$38,688$0
EKSTROM DEBORAH
PRESIDENT, COMMUNITY HEALTHLINK, INC$194,292$0$20,053$0$16,103$0$48,583$0$28,640$0$307,671$0$15,224$0
FELDMANN ROBERT
TREASURER UNTIL 7/7/14, CRIR, INC.$251,395$0$25,844$0$0$0$54,241$0$22,814$0$354,294$0$0$0
GREENWOOD JOHN
TREASURER, UMM ACO, INC.$209,312$0$25,000$0$15,607$0$35,468$0$22,048$0$307,435$0$15,607$0
MCCUE STEVEN
TREASURER, MARLBOROUGH HOSPITAL$174,930$0$8,739$0$0$0$10,965$0$22,178$0$216,812$0$0$0
O'BRIEN WILLIAM
SECRETARY, UMBHS, INC.$115,151$0$2,982$0$0$0$15,166$0$25,351$0$158,650$0$0$0
OLSON JEFFREY
TREASURER, CLINTON HOSPITAL ASSOC.$139,610$0$14,699$0$0$0$3,230$0$24,478$0$182,017$0$0$0
SHAKMAN ALICE
PRESIDENT, CMMIC, INC.$252,560$0$19,224$0$21,020$0$43,114$0$11,754$0$347,672$0$21,020$0
SMITH FRANCIS W
CLERK, UMM HEALTH VENTURES, INC.$184,952$0$31,230$0$0$0$8,723$0$26,514$0$251,419$0$0$0
STREETER MICHELE
TREASURER, UMM MED GROUP, INC.$367,250$0$70,645$0$20,455$0$53,710$0$21,538$0$533,598$0$20,455$0
ANDERSON MILTON
SR. VP, CHIEF HR OFFICER UNTIL 9/14$402,965$0$124,694$0$16,000$0$837,328$0$31,972$0$1,412,959$0$0$0
BOLLAND ESHGHI KATHARINE
VP, DEPUTY GENERAL COUNSEL$287,117$0$29,435$0$19,617$0$79,688$0$23,314$0$439,171$0$19,617$0
BRENCKLE GEORGE PHD
SR. VP, CHIEF INFORMATION OFFICER UN$303,499$0$31,203$0$30,125$0$659,074$0$25,834$0$1,049,735$0$30,125$0
CYR JAMES P
SR VP, HEART AND VASCULAR DISEASES$232,157$0$18,791$0$17,608$0$57,803$0$22,312$0$348,671$0$17,608$0
DALEY JENNIFER MD
EXECUTIVE VP, CHIEF OPERATING OFFICE$374,942$0$57,935$0$256,168$0$143,722$0$32,296$0$865,063$0$716,043$0
DAY THERESE
VP, FINANCE / CFO OF MED CENTER$285,339$0$16,951$0$21,575$0$57,576$0$22,312$0$403,753$0$21,575$0
DIAMOND VICTORIA
SR. VP, OPERATIONS, UNTIL 1/14$267,195$0$20,413$0$22,802$0$494,283$0$13,387$0$818,080$0$22,802$0
FISHER BARBARA
SR VP, OPERATIONS$250,541$0$19,474$0$0$0$81,093$0$23,514$0$374,622$0$0$0
HUDLIN MARGARET MD
CHIEF MED OFFICER/VP PERIOPERATIVE S$293,964$0$26,250$0$0$0$27,893$0$24,818$0$372,925$0$0$0
HYLKA SHARON
SR. VP, HOSPITAL ADMIN UNTIL 1/14$307,917$0$23,600$0$36,673$0$575,772$0$22,312$0$966,274$0$36,673$0
KLUGMAN ROBERT A MD
CHIEF QUALITY OFFICER, UNTIL 9/30/13$302,464$0$20,000$0$36,319$0$42,420$0$19,964$0$421,167$0$36,319$0
PHILLIPS ROBERT A MD
MED DIR, HEART & VASCULAR COE, UNTIL$292,776$0$1,000$0$72,987$0$120,613$0$5,259$0$492,635$0$72,987$0
RANDOLPH JOHN
CHIEF COMPLIANCE OFFICER$197,881$0$20,653$0$0$0$35,236$0$24,310$0$278,080$0$0$0
THOMPSON DIANE
SR. VP, CHIEF NURSING OFFICER$193,153$0$0$0$28,935$0$0$0$107$0$222,195$0$0$0
IITSUKA CARLOS
SR. VP, STRATEGY & BUSINESS DEVELOPM$0$0$0$0$0$0$0$0$0$0$0$0
TAM STANLEY MD
PHYSICIAN, CHIEF OF CARDIOTHORACIC S$539,726$0$185,548$0$0$0$13,803$0$27,457$0$766,534$0$0$0
LITWIN DEMETRIUS MD
PHYSICIAN, CHAIR OF SURGERY DEPT$553,527$0$91,102$0$0$0$13,425$0$28,253$0$686,307$0$0$0
BOZORGZADEH ADEL MD
PHYSICIAN, CHIEF OF ORGAN TRANSPLANT$470,712$0$170,664$0$0$0$13,212$0$28,254$0$682,842$0$0$0
AYERS DAVID C MD
PHYSICIAN, CHAIR OF ORTHOPEDICS AND$607,449$0$13,875$0$0$0$13,343$0$27,457$0$662,124$0$0$0
BUSCONI BRIAN D MD
PHYSICIAN, CHIEF OF ORTHOPEDICS$502,217$0$105,857$0$0$0$13,239$0$25,747$0$647,060$0$0$0
POLANOWICZ JOHN
FORMER PRESIDENT UNTIL 5/6/11, MARLB$0$0$0$0$217,576$0$0$0$0$0$217,576$0$48,731$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: KAREN MOORE $175,478 JENNIFER DALEY, M.D. $105,048 INCLUDED IN SCH. J COL. C: CHARLES E. CAVAGNARO III, M.D.$569,783 TODD A. KEATING $819,964 CANDRA D. SZYMANSKI $152,662 MILTON ANDERSON $740,207 GEORGE BRENCKLE, PH.D. $567,912 VICTORIA DIAMOND $437,043 SHARON HYLKA $581,383 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 BROWN, DOUGLAS S. $38,688 CAVAGNARO, CHARLES III, M.D. $0 CORBETT, WILLIAM M.D. $24,982 DALY, SHEILA $0 DICKSON, ERIC, M.D. $0 EKSTROM, DEBORAH $15,224 FAIRCHILD, DAVID, M.D. $21,172 FELDMANN, ROBERT $0 FINBERG, ROBERT W., M.D. $0 GREENWOOD, JOHN $15,607 KEATING, TODD A. $39,801 LAPIDAS, GARY N. $43,028 LAPRIORE, CHERYL M. $19,807 MOORE, KAREN $17,170 MULDOON, PATRICK L. $35,174 O'BRIEN, JOHN G. $0 ROACH, STEVEN $0 SHAKMAN, ALICE $21,020 STREETER, MICHELE M. $20,455 SWENSON, DANA $4,905 TOSI, STEPHEN E., M.D. $232,684 SUBTOTAL EXECUTIVES $549,717 KEY EMPLOYEES ANDERSON, MILTON C. $0 BOLLAND ESHGHI, KATHARINE $19,617 BRENCKLE, GEORGE, PH.D. $30,125 CYR, JAMES P. $17,608 DALEY, JENNIFER M.D. $62,021 DAY, THERESE $21,575 DIAMOND, VICTORIA $22,802 FISHER, BARBARA $0 HUDLIN, MARGARET, M.D. $0 HYLKA, SHARON $36,673 KLUGMAN, ROBERT, M.D. $36,319 PHILLIPS, ROBERT A., M.D. $72,987 RANDOLPH, JOHN $0 THOMPSON, DIANE $0 SUBTOTAL KEY EMPLOYEES $319,729 FORMER O/D OR KEY EMPLOYEES POLANOWICZ, JOHN $48,731 BERGAN, THOMAS $52,745 SUBTOTAL FORMER $101,476 TOTAL - ALL $970,922 PART II - DISCLOSURES: 1) DURING CY13 THE MAJORITY OF THE AMOUNT REPORTED IN JOHN O'BRIEN'S COLUMN BIII - OTHER REPORTABLE COMPENSATION ($2,715,210) WAS DUE TO A PAYOUT OF RETIREMENT FUNDS REPRESENTING THE CULMINATION OF MANY YEARS OF RETIREMENT CONTRIBUTIONS, WHICH WERE PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THOSE PRIOR YEARS. 2) 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 2013. THE NAME OF THE UNRELATED ORGANIZATION IS UMASS MEDICAL SCHOOL. PART III - UNRELATED ORGANIZATION COMPENSATION ALFRED, HOWARD, M.D. $24,667 ANDRIENI, JULIA, M.D. $67,287 BAGLEY, PETER, M.D. $137,240 BROWN, ALAN P., M.D. $63,251 CARLUCCI, DANIEL, M.D. $90,647 FERRUCCI, JOSEPH, M.D. $109,250 FINBERG, ROBERT W., M.D. $302,113 HARLAN, DAVID, M.D. $166,944 KENNEDY, KATHRYN, M.D. $35,403 LASSER, DANIEL H., M.D. $259,918 MESSINA, LOUIS, M.D. $141,653 METZMAKER, JEFFREY N., M.D. $140,107 NOMPLEGGI, DOMINIC, M.D. $170,502 ROSEN, MAX P., M.D. $254,200 ZIEDONIS, DOUGLAS, M.D. $215,714 TAM, STANLEY, M.D. $201,856 LITWIN, DEMETRIUS, M.D. $276,119 BOZORGZADEH, ADEL, M.D. $139,250 AYERS, DAVID C., M.D. $185,672 BUSCONI, BRIAN, M.D. $136,750 TOTAL COMPENSATION $3,118,543ExplanationTxt

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
MHEFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A
D0424560112009-11-24$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$110,277,415$10,709,415$5,411,300$1,384,731$3,183,269$95,000,000200600Yes (1)Yes (1)
B$30,062,453$308,592$205,455$29,856,998201200Yes (1)Yes (1)$2,710,000
C$30,062,772$517,293$118,700$29,944,072201200Yes (1)Yes (1)$2,710,000
D$9,420,000$208,184$93,458$9,326,5422009Yes (1)0Yes (1)Yes (1)$975,000

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 OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)00.005800.000000.0058000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (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)00000
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I - BOND ISSUESMHEFA - UMASS MEMORIAL, SERIES D MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F MHEFA - 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
PART I - BOND ISSUEPART I COLUMN (C ) CUSIP #: 57586CLP8 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 ISSUEPART 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 ISSUEPART 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 ISSUEPART I COLUMN (F) DESCRIPTION OF PURPOSE: PAY OFF HEFA POOL O LOAN, ER RENOVATIONS, EICU EQUIPMENT, CT SCAN LEASE, MAMMOGRAPHY UNIT
PART I - BOND ISSUEPART I COLUMN (C ) CUSIP #: 57586EUS8 - 57586EUT6 - 57586EUU3 - 57586EUV1 - 57586EUW9 - 57586EUX7 - 57586EVE8 - 57586EUY5 - 57586EVF5 - 57586EUZ2 - 57586EVG3 - 57586EVA6 - 57586EVH1 - 57586EVB4 - 57586EVJ7 - 57586EVC2 - 57586EVD0 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 ISSUEPART I COLUMN (C ) CUSIP #: 57583UGP7 - 57583UGQ5 - 57583UGR3 - 57583UGS1 - 57583UGT9 - 57583UGU6 - 57583UGV4 - 57583UGW2 - 57583UHC5 - 57583UGX0 - 57583UGY8 - 57583UGZ5 - 57583UHA9 - 57583UHB7 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 $3,183,269, LESS ISSUE DISCOUNT OF ($960,668), EQUALS LINE 3 OF $110,277,415. 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$19,679
D$16,978,713$20,024,254$19,971,500201000Yes (1)Yes (1)$28,500$24,254$163,876

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (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$18,575,000$61,833,836$2,284,688$60,734,797$1,099,039201000Yes (1)Yes (1)
B$12,270,030$20,005,301$156,173$33,031201100Yes (1)Yes (1)$5,301$19,966,969
C$10,850,000$92,293,778$4,347,869$91,585,463$1,235,3152011Yes (1)0Yes (1)Yes (1)
D$8,930,649$20,013,504$208,789$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 AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (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

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MDFA-UMASS MEMORIAL MASTER LEASEBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN043431814BondIssuerEIN
Bond Issued2013-08-14BondIssuedDt
Issue Price$20,000,000IssuePriceAmt
PurposeCAPITAL EQUIPMENTPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$3,509,826RetiredAmt
Total Proceeds$20,000,723TotalProceedsAmt
Capitalized Interest$209,864CapitalizedInterestAmt
Issuance Costs From Proceeds$36,810IssuanceCostsFromProceedsAmt
Working Capital Expenditures$723WorkingCapitalExpendituresAmt
Capital Expenditures$19,963,190CapitalExpendituresAmt
Substantial Completion2013SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledYes (1)Form8038TFiledInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
FLOYD CONNELLY
FORMER EXECUTIVE DIRECTOR OF CMMIC, INC.CSV OF LIFE INSURANCEYes (X)$455,570$279,1080Yes (1)Yes (1)
THOMAS CUMMINGS
FORMER CEO OF MARLBOROUGH HOSPITALCSV OF LIFE INSURANCEYes (X)$377,630$217,2790Yes (1)Yes (1)
WILLIAM J WILLIAMS
FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC.CSV OF LIFE INSURANCEYes (X)$1,981,627$3,935,9870Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$4,432,374TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (14 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ROBERT KLUGMAN MD
KEY EMPLOYEE (UNTIL 9/30/13)$210,071RENTAL OF PROPERTY - EXPENSE0
FERNANDO CATALINA MD
BOD$290,261RENTAL OF PROPERTY - INCOME0
ANTHONY J MERCADANTE
BOD$437,279PHYSICIAN 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$209,570RENTAL OF PROPERTY - EXPENSE0
ERIC W DICKSON MD
OFFICER/BOD$300,197ED 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)
CURRENT DIRECTOR$840,118LEGAL 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)$94,947EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC.0
JOANNE D'ONFRO
FAMILY MEMBER OF PAUL D'ONFRO, DIRECTOR$48,634EMPLOYMENT ARRANGEMENT W/ HA HOSPITALS, INC.0
ELLEN CARLUCCI
FAMILY MEMBER OF DANIEL CARLUCCI, M.D., DIRECTOR$124,725EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL0
KATHRYN C MAY
FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER OF CHL, INC.$42,647EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC.0
EILEEN HENRICKSON RN
FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER OF CHL, INC.$114,568EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC.0
KAREN BUCKLEY RN
FAMILY MEMBER OF MARY CARLSON, DIRECTOR OF MARLBOROUGH HOSPITAL$63,507EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL0
ELAINE GRANVILLE RN
FAMILY MEMBER OF CHERYL LAPRIORE, CURRENT OFFICER & DIRECTOR$80,830EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC.0
JOSHUA P SZYMANSKI
FAMILY MEMBER OF CANDRA SZYMANSKI, OFFICER & DIRECTOR (UNTIL 12/13)$26,392EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCH. L, PART II, LOANS TO AND FROM INTERESTED PERSONS:NAME OF INTERESTED PERSON, TITLE, ORIGINAL PRINCIPAL AMOUNT, BALANCE DUETHOMAS CUMMINGS, FORMER CEO OF MARLBOROUGH HOSPITAL, $377,630, $217,279WILLIAM J. WILLIAMS, FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC., $1,981,627, $3,935,987FLOYD CONNELLY, FORMER DIRECTOR OF CMMIC, INC., $455,570, $279,108TOTAL ORIGINAL PRINCIPAL AMOUNT $2,814,827TOTAL BALANCE DUE $4,432,374AMOUNTS 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 ARE VALUED WELL BELOW THE DISCLOSURE THRESHOLDS.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution7ContributionCnt
Noncash Contributions Rpt F990$168,946NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMV/SELLING PRICEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 32B:FormAndLineReferenceDesc
ExplanationUMASS MEMORIAL HEALTH CARE, INC. UTILIZES THE SERVICES OF UMASS MEMORIAL FOUNDATION, INC. TO SOLICIT DONOR CONTRIBUTIONS, ON OCCASION, THE ORGANIZATION RECEIVES GIFTS OF PUBLICLY TRADED STOCK. ALL GIFTS OF PUBLICLY TRADED STOCK ARE IMMEDIATELY SOLD UPON RECEIPT THROUGH AN INVESTMENT SERVICES FIRM.ExplanationTxt

Schedule 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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeIRC SectionIRCSectionTxt
UMASS MEMORIAL HEALTH VENTURES INC
CAITLIN RAYMOND INTERNATIONAL REGISTRY, INC. - CASH2014-09-30$83,542BOOK VALUE222605679306 BELMONT STREETWORCESTERMA01604501(C)(3)
UMASS MEMORIAL HEALTH VENTURES INC
CAITLIN RAYMOND INTERNATIONAL REGISTRY, INC. - NOTES RECEIVABLE2014-09-30$1,665BOOK VALUE222605679306 BELMONT STREETWORCESTERMA01604501(C)(3)
UMASS MEMORIAL HEALTH VENTURES INC
CAITLIN RAYMOND INTERNATIONAL REGISTRY, INC. - OTHER ASSETS2014-09-30$13,760BOOK VALUE222605679306 BELMONT STREETWORCESTERMA01604501(C)(3)
CLINTON HOSPITAL ASSOCIATION
CLINTON HOSPITAL FOUNDATION (EIN: 04-3357881) - CASH2014-09-30$123,505BOOK VALUE041185520201 HIGHLAND STREETCLINTONMA01510501(C)(3)
CLINTON HOSPITAL ASSOCIATION
CLINTON HOSPITAL FOUNDATION (EIN: 04-3357881) - PLEDGES RECEIVABLE2014-09-30$281,149BOOK VALUE041185520201 HIGHLAND STREETCLINTONMA01510501(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
ExplanationPERSON(S) INVOLVED: SEVERAL OF THE DIRECTORS OF THE ORGANIZATION ARE ALREADY OFFICERS AND/OR DIRECTORS OF THE TRANSFEREE ORGANIZATION. BOTH ORGANIZATIONS ARE INCLUDED IN THIS GROUP RETURN - GROUP EXEMPTION #3642. THIS INCLUDES:TODD A. KEATINGGARY N. LAPIDASFRANCIS W. SMITHPAUL KANGASJOHN H. BUDDFREDERICK G. CROCKEREDWARD J. PARRY IIIGERARD P. RICHERJOHN G. O'BRIENCHERYL LAPRIOREERIC W. DICKSON, M.D.CAITLIN RAYMOND INTERNATIONAL REGISTRY WAS MERGED INTO ANOTHER ORGANIZATION WITHIN THE UMASS MEMORIAL SYSTEM.SEE ATTACHED MERGER DOCUMENTS.THE CLINTON FOUNDATION WAS MERGED INTO ANOTHER ORGANIZATION WITHIN THE UMASS MEMORIAL SYSTEM.SEE ATTACHED MERGER DOCUMENTS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2DISCLOSURE YEAR, DISCLOSING INDIVIDUAL, TITLE/ROLE, RELATIONSHIP WITH, RELATIONSHIP UMMHC 2013 - BUDD, JOHN, BOARD MEMBER, PAUL D'ONFRO (BUSINESS), ARTHUR BERGERON (BUSINESS) 2013 - BENNETT, RICHARD, BOARD MEMBER, MARLBOROUGH HOSPITAL (BUSINESS) 2013 - PHILLIPS, ROBERT, KEY EMPLOYEE, JULIA ANDRIENI (FAMILY) VENTURES 2013 - BUDD, JOHN, BOARD MEMBER, PAUL D'ONFRO (BUSINESS), ARTHUR BERGERON (BUSINESS) MEMBER ENTITIES HEALTH ALLIANCE 2013 - CONNORS, MARTIN, BOARD MEMBER, CONFIDENTIAL (BUSINESS) 2013 - CLEMENTI, JOHN, BOARD MEMBER, 80 ERDMAN WAY LLC (BUSINESS) 2013 - CATALINA, FERNANDO, BOARD MEMBER, BOYS & GIRLS CLUB (BUSINESS) CHL 2013 - EKSTROM, DEBORAH, CEO, FIDELITY COOPERATIVE BANK (BUSINESS), FIDELITY MUTUAL HOLDING COMPANY (BUSINESS) MARLBOROUGH 2013 - BENNETT, RICHARD, BOARD MEMBER, MARLBOROUGH SAVINGS BANK (BUSINESS) 2013 - CARLUCCI, DANIEL, BOARD MEMBER, MICHAEL MURPHY (BUSINESS), RICHARD BENNETT (BUSINESS), ELLEN CARLUCCI (FAMILY) WING 2013 - CAVAGNARO, CHARLES, PRESIDENT & CEO, PAUL SCULLY (BUSINESS), STEPHEN LOWELL (BUSINESS), JAMES PHANEUF (BUSINESS), EDWARD NOONAN (BUSINESS), RON CHRISTIANSON (BUSINESS) CLINTON 2013 - PAULHAUS, JR., ROBERT, BOARD MEMBER, PAUL CHERUBINI (BUSINESS) UMM ACO 2013 - NONE UMM MED GROUP 2013 - 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 COPMLETE 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.
PAGE 8 PART VII SECTION B. INDEPENDENT CONTRACTORS - DESCRIPTION OF SERVICEDESCRIPTION OF SERVICES FOOTNOTE A - SPECIALTY TRADE CONTRACTORS: SUBCONTRACTS TO A VARIETY OF EXHIBIT AND MARKETING SERVICES INCLUDING BUT NOT LIMITED TO: GENERAL CONSULTATION, COST OF MATERIALS AND SUPPLIES, DESIGN, CONSTRUCTION, LABORERS. THIS VENDOR MAY ALSO SUPPLY THEIR OWN LABORERS AS OPPOSED TO SUBCONTRACT.
FORM 990, PART XI, LINE 9:NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 1,399,888. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -36,397,693. CHANGE IN BENEFICIAL INTERESTS IN PERPETUAL TRUSTS 5,383,263. MISCELLANEOUS -647. NET ASSETS RELEASED FROM RESTRICTION FOR PPE 1,847,105. TEMPORARY RESTRICTED FUND EXPENDITURES -3,295,765. GAIN/(LOSS) ON DISCONTINUED OPERATIONS 12,981. ALLOWANCE FOR UNCOLLECTIBLE PLEDGES -21,732. GAIN/(LOSS) ON TRANSFER OF MEMBERSHIP INTEREST -14,313,460. TRANSFERS FROM RELATED PARTIES 1.
PAGE 1, LINE H(B) LIST OF AFFILIATED ORGANIZATIONSTHE CLINTON HOSPITAL ASSOCIATION; 201 HIGHLAND STREET, CLINTON, MA 01510 EIN: 04-1185520 FISCAL YEAR END: 9/30/2014 MARLBOROUGH HOSPITAL; 157 UNION STREET, MARLBOROUGH, MA 01752 EIN: 04-2104693 FISCAL YEAR END: 9/30/2014 UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3374724 FISCAL YEAR END: 9/30/2014 UMASS MEMORIAL HOSPITALS, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3296271 FISCAL YEAR END: 9/30/2014 UMASS MEMORIAL HEALTH VENTURES, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 22-2605679 FISCAL YEAR END: 9/30/2014 UMASS MEMORIAL MEDICAL CENTER, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3358564 FISCAL YEAR END: 9/30/2014 UMASS MEMORIAL MEDICAL GROUP, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-2911067 FISCAL YEAR END: 9/30/2014 UMASS MEMORIAL REALTY, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-2805630 FISCAL YEAR END: 9/30/2014 UMASS MEMORIAL HEALTH CARE, INC. (PARENT); 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3358566 FISCAL YEAR END: 9/30/2014 COMMUNITY HEALTHLINK, INC.; 72 JAQUES AVENUE, WORCESTER, MA 01610 EIN: 04-2626179 FISCAL YEAR END: 9/30/2014 CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC.; 367 PLANTATION STREET, WORCESTER, MA 01605 EIN: 04-2981362 FISCAL YEAR END: 9/30/2014 CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-3172496 FISCAL YEAR END: 9/30/2014 COORDINATED PRIMARY CARE, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-3210002 FISCAL YEAR END: 9/30/2014 HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.; 25 TUCKER ROAD, LEOMINSTER, MA 01453 EIN: 04-2932308 FISCAL YEAR END: 9/30/2014 HEALTHALLIANCE HOSPITALS, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-2103555 FISCAL YEAR END: 9/30/2014 CAITLIN RAYMOND INTERNATIONAL REGISTRY, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 06-1749208 FISCAL YEAR END: 9/30/2014 CLINTON HOSPITAL FOUNDATION, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3357881 FISCAL YEAR END: 9/30/2014 UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZATION, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 46-2871359 FISCAL YEAR END: 9/30/2014
SCHEDULE H, PART VI - SUPPLEMENTAL INFORMATION - CONTINUEDMARLBOROUGH 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 POPULATION 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. WING MEMORIAL HOSPITAL: THE COMMUNITY WING MEMORIAL HOSPITAL AND MEDICAL CENTERS SERVES INCLUDES 17 TOWNS IN HAMPDEN, WORCESTER AND HAMPSHIRE COUNTIES: AGAWAM, BELCHERTOWN, BRIMFIELD, CHICOPEE, EAST LONGMEADOW, HAMPDEN, HOLLAND, LONGMEADOW, LUDLOW, MONSON, PALMER, SPRINGFIELD, WALES, WARE, WARREN, WEST BROOKFIELD AND WILBRAHAM. THE TOWNS THAT MAKE UP THE PRIMARY SERVICE AREA INCLUDE: BELCHERTOWN, LUDLOW, MONSON, PALMER, WARREN AND WILBRAHAM. THE TOWNS THAT MAKE UP THE SECONDARY SERVICE AREA INCLUDE: BRIMFIELD, GRANBY, HAMPDEN, WALES AND WARE. TARGET POPULATIONS FOR WING MEMORIAL'S COMMUNITY BENEFITS INITIATIVES FOCUS ON MEDICALLY-UNDERSERVED AND VULNERABLE GROUPS OF ALL AGES IN WING MEMORIAL'S SERVICE AREA. THE MOST VULNERABLE POPULATIONS INCLUDE CHILDREN, ELDERS, INDIVIDUALS WHO ARE OBESE/OVERWEIGHT, THOSE LIVING IN POVERTY, AND THE UNDERINSURED/UNINSURED. CLINTON HOSPITAL ASSOCIATION: TARGET POPULATIONS FOR CLINTON HOSPITAL'S COMMUNITY BENEFITS INITIATIVES ARE IDENTIFIED THROUGH A COMMUNITY INPUT AND PLANNING PROCESS, COLLABORATIVE EFFORTS WITH A BROAD ARRAY OF STAKEHOLDERS, AND THE DEVELOPMENT OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHA) 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 INCLUDE KEY STAKEHOLDERS SUCH AS: RESIDENTS, CONSUMERS, COALITIONS, COMMUNITIES OF FAITH, BUSINESSES, SCHOOLS, HEALTH AND HUMAN SERVICE ORGANIZATIONS AND LOCAL AND STATE GOVERNMENTS. OUR TARGET POPULATIONS FOCUS ON MEDICALLY-UNDERSERVED AND VULNERABLE GROUPS OF ALL AGES, AS FOLLOWS: - ELDERLY - YOUTH/CHILDREN - POPULATIONS LIVING IN POVERTY - UNDERSERVED/UNINSURED - ETHNIC AND LINGUISTIC MINORITIES CLINTON HOSPITAL PRIMARILY SERVES THE COMMUNITIES OF CLINTON, BERLIN, BOLTON, LANCASTER AND STERLING WITH POPULATIONS OF 13,606, 2,866, 4,897, 7,582 AND 9,564 RESPECTIVELY. THE POPULATION OF THE TOTAL SERVICE AREA IS 36,759. CLINTON HAS A POPULATION OF 13,606. THE MAJORITY OF CLINTON RESIDENTS ARE WHITE NON-HISPANIC (84%), FOLLOWED BY HISPANIC (11.6%) AND BLACK NON-HISPANIC (1.80%). THE CLINTON HOSPITAL SERVICE AREA IS ALSO PRIMARILY WHITE NON-HISPANIC (88%), FOLLOWED BY HISPANIC (6.4%), AND BLACK NON-HISPANIC (2.8%). CLINTON HOSPITAL'S COMMUNITY BENEFITS PLAN FOCUSES ON THE NEEDS OF CLINTON DUE TO ITS LARGE CONCENTRATION OF DIVERSE, VULNERABLE POPULATIONS.
SCHEDULE H, PART V, QUESTION 13HEALTHALLIANCE HOSPITAL 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 GAURANTOR COLLECTORS PROVIDE POTENTIALLY ELIGIBLE PATIENTS WITH THE APPROPRIATE METHODS OF APPLYING FOR HEALTH CARE COVERAGE AS LISTED ON THE MASSACHUSETTS CONNECTORCARE WEBSITE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary 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)(3)N/AN/A0
WING MEMORIAL HOSPITAL CORPORATION
40 WRIGHT STREETPALMERMA01069222519813HOSPITALMA501(C)(3)3N/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP
ONE BIOTECH PARK 355 PLANTATION STWORCESTERMA01605043530755INVESTMENT MANAGEMENTMAN/AEXCLUDED 514$37,784,350$457,383,4090-$4,860Yes (1)1.00000
UMASS MEMORIAL MRI OF MARLBOROUGH LLC
157 UNION STREETMARLBOROUGHMA01752202293995MAGNETIC RESONANCE IMAGINGMARELATED$583,958$351,727000.56000MARLBOROUGH HOSPITAL
UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC
60 HOSPITAL ROADLEOMINSTERMA01453043561571MAGNETIC RESONANCE IMAGINGMAN/ARELATED$1,013,065$1,275,329000.60000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1ForeignAddress/AddressLine1CityForeignAddress/CityCountryForeignAddress/CountryEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD
PO BOX 1051 GTGRAND CAYMANCJ980226143INSURANCECJN/AC$5,550,915$191,248,5011.000000
MEMORIAL OFFICE CONDOMINIUM TRUST
046616900CONDOMINIUM ASSOCIATIONT$453,0970.536900306 BELMONT STREETWORCESTERMA01604MAUMASS MEMORIAL MEDICAL CENTER INC
BIO-LAB INC
042708828CLINICAL LABORATORYS$1,401,374$2,257,9211.000000215 WEST STREETMILFORDMA01757MAUMASS MEMORIAL HEALTH VENTURES INC
116 BELMONT ST INC CO APPLETON CORP
042717865CONDOMINIUM ASSOCIATIONC$240,844$228,6600.63040057 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 Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
L$25,811,705FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
B$303,161FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
Q$599,572FAIR VALUE
UMASS MEMORIAL HEALTH VENTURES INC
P$354,454FAIR VALUE
UMASS MEMORIAL REALTY INC
P$380,795FAIR VALUE
MARLBOROUGH HOSPITAL
P$3,262,903FAIR VALUE
THE CLINTON HOSPITAL ASSOCIATION
P$1,573,160FAIR VALUE
WING MEMORIAL HOSPITAL CORPORATION
P$1,893,016FAIR VALUE
CENTRAL NEW ENGLAND HEALTH ALLIANCE INC
P$4,332,522FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
P$154,038,955FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
P$40,011,021FAIR VALUE
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER INC
P$118,974FAIR VALUE
COMMUNITY HEALTHLINK INC
P$579,294FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
B$359,006FAIR VALUE
UMASS MEMORIAL REALTY INC
J$3,673,497FAIR VALUE
THE CLINTON HOSPITAL ASSOCIATION
B$328,835FAIR VALUE
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
P$36,137,297FAIR VALUE
UMASS MEMORIAL HEALTH VENTURES INC
S$21,000,000FAIR VALUE