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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-07T11:41:00-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 042684828 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FEELEY & DRISCOLL PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 PORTLAND STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912155626 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UMASS MEMORIAL HEALTH CARE INC & AFFILIATES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UMAS | BusinessNameControlTxt |
| Phone | 5083340496 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 BELMONT STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01604 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SERGIO MELGAR | PersonNm |
| Person Title | EVP/CFO/TREASURER | PersonTitleTxt |
| Phone | 5083340496 | PhoneNum |
| Signature | 2015-07-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ALAN GAROFALO | PreparerPersonNm |
| PTIN | P00744592 | PTIN |
| Phone | 6177427788 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SERGIO MELGAR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 BELMONT STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,928,945,702 | GrossReceiptsAmt |
| Group Return For Affiliates | Yes (1) | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (1) | AllAffiliatesIncludedInd |
| Group Exemption | 3642 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UMASSMEMORIAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Activity Or Mission | UMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 185 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 106 | VotingMembersIndependentCnt |
| Total Employee | 15338 | TotalEmployeeCnt |
| Total Volunteers | 1239 | TotalVolunteersCnt |
| Total Gross UBI | $2,794,065 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,831,011 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,687,383 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,475,711,754 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,539,202,708 | CYProgramServiceRevenueAmt |
| PY Investment Income | $112,241,056 | PYInvestmentIncomeAmt |
| CY Investment Income | $47,398,719 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,990,297 | PYOtherRevenueAmt |
| CY Other Revenue | $11,933,184 | CYOtherRevenueAmt |
| PY Total Revenue | $2,613,774,118 | PYTotalRevenueAmt |
| CY Total Revenue | $2,610,221,994 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,477,289 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,940,267 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,241,420,589 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,292,502,919 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $301,241 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,048,233 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,317,174,393 | PYOtherExpensesAmt |
| CY Other Expenses | $1,246,056,328 | CYOtherExpensesAmt |
| PY Total Expenses | $2,562,072,271 | PYTotalExpensesAmt |
| CY Total Expenses | $2,543,800,755 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $51,701,847 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $66,421,239 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,152,708,574 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,142,414,587 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,262,465,868 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,235,963,484 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $890,242,706 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $906,451,103 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | UMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,215,823,895 | ExpenseAmt |
| Grant | $2,864,353 | GrantAmt |
| Revenue | $1,507,452,920 | RevenueAmt |
| Desc | UMASS MEMORIAL MEDICAL CENTERUMASS MEMORIAL MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. UMASS MEMORIAL MEDICAL CENTER DOES THIS BY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY.FY 2014 KEY STATISTICS - TOTAL DISCHARGES: 36,690 TOTAL SURGICAL CASES: 29,547 TOTAL ER VISITS: 132,110 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $435,501,621 | ExpenseAmt |
| Revenue | $469,854,734 | RevenueAmt |
| Desc | UMASS MEMORIAL MEDICAL GROUPTHE UMASS MEMORIAL MEDICAL GROUP IS A MULTISPECIALTY GROUP PRACTICE OF PHYSICIANS WHOSE MISSION AND PURPOSE IS TO SUPPORT THE CLINICAL, EDUCATIONAL, RESEARCH AND COMMUNITY SERVICE MISSIONS OF UMASS MEMORIAL HEALTH CARE AND UMASS MEMORIAL MEDICAL CENTER. UMASS MEMORIAL MEDICAL GROUP ACCOMPLISHES THIS MISSION BY PROVIDING MEDICAL CARE TO RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $71,553,900 | ExpenseAmt |
| Grant | $2,000,000 | GrantAmt |
| Revenue | $303,694,576 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICESOTHER UMASS MEMORIAL ENTITIES - UMASS MEMORIAL HAS A NUMBER OF SUBSIDIARY ENTITIES THAT FUNCTION PRIMARILY TO DELIVER HEALTH CARE TO PATIENTS OR TO SUPPORT THE DELIVERY OF HEALTH CARE TO PATIENTS OF UMASS MEMORIAL. THEY ACCOMPLISH THIS THROUGH THE DELIVERY OF HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THEY ALSO ACCOMPLISH THIS BY PROVIDING SUPPORT, OVERSIGHT, ADMINISTRATIVE SERVICES OR PATIENT ADVOCACY SERVICES TO THE PATIENTS OF UMASS MEMORIAL, CENTRAL NEW ENGLAND, AND OTHER GEOGRAPHIES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $211,682,623 | ExpenseAmt |
| Grant | $75,914 | GrantAmt |
| Revenue | $261,293,734 | RevenueAmt |
| Desc | UMASS MEMORIAL COMMUNITY HOSPITALSTHE UMASS MEMORIAL COMMUNITY HOSPITALS (CLINTON HOSPITAL, HEALTH ALLIANCE HOSPITALS, INC., MARLBOROUGH HOSPITAL) ARE COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF THE COMMUNITIES THAT THEY SERVE THROUGH EXCELLENCE IN CLINICAL CARE AND SERVICE. EACH OF THESE HOSPITALS ACCOMPLISHES THIS GOAL BY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE RESIDENTS OF THEIR COMMUNITIES WITHOUT REGARD TO THEIR ABILITY TO PAY.FY 2014 KEY STATISTICS -TOTAL DISCHARGES: 10,949TOTAL SURGICAL CASES: 8,202TOTAL ER VISITS: 99,513 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $211,682,623 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $75,914 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $261,293,734 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,934,562,039 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | Yes (1) | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1979 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 15338 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 185 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 106 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT FELDMANN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5083340496 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 BELMONT STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (154 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| ALFRED HOWARD MD | |||||||||
| DIRECTOR, UMM ACO, INC. | 37.00 | Yes (X) | $261,974 | $0 | $25,525 | ||||
| ANDRIENI JULIA MD | |||||||||
| DIRECTOR UNTIL 4/2013, UMM MED GROUP, INC. | 31.00 | Yes (X) | $201,374 | $0 | $12,351 | ||||
| BAGLEY PETER MD | |||||||||
| DIRECTOR, UMM ACO, INC. | 27.00 | Yes (X) | $386,166 | $0 | $53,821 | ||||
| BROWN ALAN P MD | |||||||||
| DIRECTOR, UMBHS, INC. | 31.00 | Yes (X) | $190,588 | $0 | $34,203 | ||||
| CARLUCCI DANIEL MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 32.00 | Yes (X) | $337,376 | $0 | $41,314 | ||||
| CAVAGNARO CHARLES EIII MD | |||||||||
| DIRECTOR UNTIL 9/14, UMM HOSPITALS, INC. | 40.00 | Yes (X) | $0 | $458,662 | $633,333 | ||||
| COFONE MICHAEL J | |||||||||
| TREASURER/DIRECTOR, COORDINATED PRIMARY CARE, INC. | 40.00 | Yes (X) | $354,671 | $0 | $33,495 | Yes (X) | |||
| CORBETT WILLIAM MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 40.00 | Yes (X) | $375,248 | $0 | $84,107 | ||||
| DALY SHEILA | |||||||||
| PRESIDENT, CLINTON HOSPITAL ASSOC., DIRECTOR HOSP | 40.00 | Yes (X) | $226,348 | $0 | $36,854 | Yes (X) | |||
| DICKSON ERIC W MD | |||||||||
| PRESIDENT & CEO/DIRECTOR, UMM HEALTH CARE, INC. | 40.00 | Yes (X) | $761,102 | $0 | $156,798 | Yes (X) | |||
| DUNCAN DAVID | |||||||||
| DIRECTOR, COORDINATED PRIMARY CARE, INC. | 40.00 | Yes (X) | $202,611 | $0 | $28,994 | ||||
| EISENSTOCK JORDAN MD | |||||||||
| DIRECTOR, UMM ACO, INC. | 40.00 | Yes (X) | $189,631 | $0 | $32,991 | ||||
| FAIRCHILD DAVID MD | |||||||||
| PRESIDENT/DIRECTOR, UMM ACO, INC. | 40.00 | Yes (X) | $440,772 | $0 | $148,280 | Yes (X) | |||
| FERGUSON R KEVIN MD | |||||||||
| DIRECTOR, UMM MED GROUP, INC. | 40.00 | Yes (X) | $249,493 | $0 | $36,941 | ||||
| FERRUCCI JOSEPH MD | |||||||||
| DIRECTOR UNTIL 3/31/13, CMMIC, INC. | 32.00 | Yes (X) | $376,901 | $0 | $40,553 | ||||
| FINBERG ROBERT W MD | |||||||||
| DIRECTOR, UMM HEALTH CARE, INC. | 20.00 | Yes (X) | $283,734 | $0 | $110,497 | ||||
| GOTTLIEB PHILIP D MD | |||||||||
| DIRECTOR UNTIL 12/13, CLINTON HOSPITAL ASSOC. | 40.00 | Yes (X) | $370,339 | $0 | $37,461 | ||||
| HARLAN DAVID MD | |||||||||
| DIRECTOR, UMM ACO, INC. | 20.00 | Yes (X) | $182,645 | $0 | $34,452 | ||||
| KEATING TODD A | |||||||||
| TREASURER UNTIL 2/14, UMM HEALTH CARE, INC. | 40.00 | Yes (X) | $576,413 | $0 | $897,748 | Yes (X) | |||
| KENNEDY KATHRYN MD | |||||||||
| DIRECTOR, UMM MED GROUP, INC. | 36.00 | Yes (X) | $309,006 | $0 | $41,233 | ||||
| LAPIDAS GARY | |||||||||
| PRESIDENT UNTIL 1/18/13, UMM HEALTH VENTURES, INC | 40.00 | Yes (X) | $100,293 | $0 | $17,491 | Yes (X) | |||
| LAPRIORE CHERYL M | |||||||||
| PRESIDENT/DIRECTOR, UMM HEALTH VENTURES, INC. | 40.00 | Yes (X) | $280,923 | $0 | $83,656 | Yes (X) | |||
| LASSER DANIEL H MD | |||||||||
| DIRECTOR, UMM MED GROUP, INC. | 20.00 | Yes (X) | $247,205 | $0 | $26,787 | ||||
| MATTA LALITA MD | |||||||||
| DIRECTOR, UMM ACO, INC. | 24.00 | Yes (X) | $28,919 | $0 | $6,073 | ||||
| MESSINA LOUIS MD | |||||||||
| DIRECTOR UNTIL 3/14, UMM MED GROUP, INC. | 33.00 | Yes (X) | $626,730 | $0 | $61,111 | ||||
| METZMAKER JEFFREY N MD | |||||||||
| DIRECTOR, UMM MED GROUP, INC. | 29.00 | Yes (X) | $435,631 | $0 | $38,497 | ||||
| MOORE KAREN | |||||||||
| PRESIDENT/DIRECTOR UNTIL 3/25/13, MARLBOROUGH HOSP | 40.00 | Yes (X) | $357,628 | $0 | $82,477 | Yes (X) | |||
| MULDOON PATRICK | |||||||||
| PRESIDENT, UMM MED CTR, INC., | 40.00 | Yes (X) | $544,998 | $0 | $152,278 | Yes (X) | |||
| NOMPLEGGI DOMINIC MD | |||||||||
| DIRECTOR, UMM MED GROUP, INC. | 29.00 | Yes (X) | $369,208 | $0 | $41,228 | ||||
| O'BRIEN JOHN G | |||||||||
| PRESIDENT & CEO UNTIL 2/25/13, UMM HEALTH CARE, IN | 40.00 | Yes (X) | $3,477,294 | $0 | $36,227 | Yes (X) | |||
| OKIKE O NSIDINANYA MD | |||||||||
| DIRECTOR, UMM HEALTH CARE, INC. | 40.00 | Yes (X) | $511,675 | $0 | $40,771 | ||||
| O'LEARY DANIEL MD | |||||||||
| DIRECTOR, COORDINATED PRIMARY CARE, INC. | 25.00 | Yes (X) | $171,244 | $0 | $4,675 | ||||
| ROACH STEVEN | |||||||||
| PRESIDENT/DIRECTOR, MARLBOROUGH HOSPITAL | 40.00 | Yes (X) | $50,929 | $0 | $6,807 | Yes (X) | |||
| ROSEN MAX P MD | |||||||||
| DIRECTOR, CMMIC, INC. | 24.00 | Yes (X) | $402,765 | $0 | $16,961 | ||||
| SWENSON DANA E | |||||||||
| PRESIDENT/DIRECTOR, UMM REALTY, INC. | 40.00 | Yes (X) | $265,644 | $0 | $128,932 | Yes (X) | |||
| SZYMANSKI CANDRA D | |||||||||
| INTERIM PRESIDENT UNTIL 12/13, MARLBOROUGH HOSPITA | 40.00 | Yes (X) | $230,795 | $0 | $157,161 | Yes (X) | |||
| TOSI STEPHEN E MD | |||||||||
| PRESIDENT, UMM MED GROUP, INC., DIRECTOR VARIOUS | 40.00 | Yes (X) | $808,548 | $0 | $284,139 | Yes (X) | |||
| YOUNG LYNDA M MD | |||||||||
| DIRECTOR, UMM HEALTH CARE, INC. | 1.00 | Yes (X) | $29,040 | $0 | $107 | ||||
| ZIEDONIS DOUGLAS MD | |||||||||
| PRESIDENT/DIRECTOR, UMBHS, INC. | 20.00 | Yes (X) | $210,680 | $0 | $39,251 | Yes (X) | |||
| ALLEN GAIL | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ARNOW JONATHAN MD | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BABINEAU ROBERT JR MD | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BENNETT DAVID L | |||||||||
| CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BENNETT RICHARD K | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BERGERON ARTHUR | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BERKEY DENNIS D | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BERRY SARAH G | |||||||||
| EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BOUDREAU NORMAN | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BOVENZI LESLIE | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BUDD JOHN H | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CARLSON MARY | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CATALINA FERNANDO MD | |||||||||
| VICE CHAIRPERSON, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHERUBINI J PAUL | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CLEMENTI JOHN | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| COLLINS MICHAEL MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CONNORS MARTIN JR | |||||||||
| DIRECTOR UNTIL 4/14, HEALTHALLIANCE HOSPITALS, INC | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CORNELL LOIS D | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CROCKER FREDERICK G | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| D'ALELIO EDWARD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVIS DIX F | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DENNEHY RAYMOND III | |||||||||
| CHAIRPERSON, HEALTH ALLIANCE HOME HEALTH AND HOSPI | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DIGERONIMO ARTHUR P JR | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DITULLIO DANIEL | |||||||||
| DIRECTOR UNTIL 9/30/14, CLINTON HOSPITAL FOUNDATIO | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DOBECK PAM | |||||||||
| DIRECTOR UNTIL 9/30/14, CLINTON HOSPITAL FOUNDATIO | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| D'ONFRO PAUL | |||||||||
| CHAIRPERSON, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| FITCH ROGER | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| FLOTTE TERENCE MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GIBLIN DAVID R | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GRAY JENNIFER | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| GUARDIOLA ELVIRA | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| HENEBRY CLARK | |||||||||
| TREASURER/DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| HEWITT FRANK | |||||||||
| DIRECTOR UNTIL 9/30/14, CLINTON HOSPITAL FOUNDATIO | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| HOLLISTER MATT | |||||||||
| FIRST VICE PRESIDENT UNTIL 9/30/14, CLINTON HOSPIT | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| HURLEY FRANCIS | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JACOBSON M HOWARD | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHNSON JOANNE | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KANGAS PAUL | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KAPLAN DANIEL | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KNOX PETER | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KUPFER BARBARA | |||||||||
| DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LENHARDT STEPHEN W SR | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MACNEILL HARRIS L | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MANZI EDWARD | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARTIN DONATA | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MCGRAIL WILLIAM ESQUIRE | |||||||||
| CHAIRPERSON, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MCGUIRE TONI | |||||||||
| DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MCMULLEN CYNTHIA M EDD | |||||||||
| EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MCNAMARA MARY ELLEN | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MELGAR SERGIO | |||||||||
| TREASURER, UMASS MEMORIAL HEALTH CARE, INC. | 40.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| MENDOZA STEVEN | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MERCADANTE ANTHONY J | |||||||||
| DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE, | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MOLLOY ANN K | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MORRILLY DARLENE | |||||||||
| DIRECTOR UNTIL 1/14, HEALTH ALLIANCE HOME HEALTH A | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MURPHY MICHAEL D | |||||||||
| VICE CHAIRPERSON, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| NOONAN EDWARD J | |||||||||
| DIRECTOR UNTIL 9/14, UMASS MEMORIAL HOSPITALS, INC | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAEN GENARO | |||||||||
| DIRECTOR UNTIL 9/30/14, CLINTON HOSPITAL FOUNDATIO | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PARRY EDWARD J III | |||||||||
| VICE CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAULHUS ROBERT J JR | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAULINO JEANNE | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| PEDERSON THORU | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PICI MICHAEL MD | |||||||||
| DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PONGOR PAUL J MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PURCELL PHILIP E | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHER GERALD P | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RIVARD MICHAEL | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SANCHEZ CAROL | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SEYMOUR-ROUTE PAULETTE PHD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHEA JOHN ESQUIRE | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHELTON ROBERT LESLIE MD | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SIEGRIST RICHARD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| STARR STANLEY B JR | |||||||||
| DIRECTOR UNTIL 9/30/14, CLINTON HOSPITAL FOUNDATIO | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| STECYK MARKIAN MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| TAYLOR HARVEY MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WEISBERG OREN MD | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WEYMOUTH DEBORAH | |||||||||
| PRESIDENT, HEALTHALLIANCE HOSPITALS, INC. | 40.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| WHITNEY MARY | |||||||||
| DIRECTOR, HEALTHALLIANCE HOSPITALS, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILSON JACK | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRONHARD JOHN | |||||||||
| INTERIM TREASURER, CNEHA, INC. | 40.00 | $160,923 | $0 | $9,533 | Yes (X) | ||||
| BROWN DOUGLAS S | |||||||||
| SECRETARY, UMM HEALTH CARE, INC., DIRECTOR VARIOUS | 40.00 | $522,283 | $0 | $118,620 | Yes (X) | ||||
| CROTEAU MAUREEN | |||||||||
| SECRETARY, CLINTON HOSPITAL ASSOC. | 40.00 | $54,530 | $0 | $23,177 | Yes (X) | ||||
| D'AMBRA ANN-MARIA | |||||||||
| SECRETARY, MARLBOROUGH HOSPITAL | 40.00 | $49,703 | $0 | $23,453 | Yes (X) | ||||
| EKSTROM DEBORAH | |||||||||
| PRESIDENT, COMMUNITY HEALTHLINK, INC. | 40.00 | $230,448 | $0 | $77,223 | Yes (X) | ||||
| FELDMANN ROBERT | |||||||||
| TREASURER UNTIL 7/7/14, CRIR, INC. | 40.00 | $277,239 | $0 | $77,055 | Yes (X) | ||||
| GREENWOOD JOHN | |||||||||
| TREASURER, UMM ACO, INC. | 40.00 | $249,919 | $0 | $57,516 | Yes (X) | ||||
| MCCUE STEVEN | |||||||||
| TREASURER, MARLBOROUGH HOSPITAL | 40.00 | $183,669 | $0 | $33,143 | Yes (X) | ||||
| MORABITO NANCY E | |||||||||
| SECRETARY UNTIL 3/28/13, CLINTON HOSPITAL ASSOC. | 32.00 | $46,509 | $0 | $3,847 | Yes (X) | ||||
| MORIN LYNN A | |||||||||
| SECRETARY, CNEHA, INC. | 40.00 | $89,693 | $0 | $7,133 | Yes (X) | ||||
| O'BRIEN WILLIAM | |||||||||
| SECRETARY, UMBHS, INC. | 40.00 | $118,133 | $0 | $40,517 | Yes (X) | ||||
| OLSON JEFFREY | |||||||||
| TREASURER, CLINTON HOSPITAL ASSOC. | 40.00 | $154,309 | $0 | $27,708 | Yes (X) | ||||
| SHAKMAN ALICE | |||||||||
| PRESIDENT, CMMIC, INC. | 40.00 | $292,804 | $0 | $54,868 | Yes (X) | ||||
| SMITH FRANCIS W | |||||||||
| CLERK, UMM HEALTH VENTURES, INC. | 40.00 | $216,182 | $0 | $35,237 | Yes (X) | ||||
| STREETER MICHELE | |||||||||
| TREASURER, UMM MED GROUP, INC. | 40.00 | $458,350 | $0 | $75,248 | Yes (X) | ||||
| ANDERSON MILTON | |||||||||
| SR. VP, CHIEF HR OFFICER UNTIL 9/14 | 40.00 | $543,659 | $0 | $869,300 | Yes (X) | ||||
| BOLLAND ESHGHI KATHARINE | |||||||||
| VP, DEPUTY GENERAL COUNSEL | 40.00 | $336,169 | $0 | $103,002 | Yes (X) | ||||
| BRENCKLE GEORGE PHD | |||||||||
| SR. VP, CHIEF INFORMATION OFFICER UNTIL 4/14 | 40.00 | $364,827 | $0 | $684,908 | Yes (X) | ||||
| CYR JAMES P | |||||||||
| SR VP, HEART AND VASCULAR DISEASES | 40.00 | $268,556 | $0 | $80,115 | Yes (X) | ||||
| DALEY JENNIFER MD | |||||||||
| EXECUTIVE VP, CHIEF OPERATING OFFICER, UNTIL 3/18/ | 40.00 | $689,045 | $0 | $176,018 | Yes (X) | ||||
| DAY THERESE | |||||||||
| VP, FINANCE / CFO OF MED CENTER | 40.00 | $323,865 | $0 | $79,888 | Yes (X) | ||||
| DIAMOND VICTORIA | |||||||||
| SR. VP, OPERATIONS, UNTIL 1/14 | 40.00 | $310,410 | $0 | $507,670 | Yes (X) | ||||
| FISHER BARBARA | |||||||||
| SR VP, OPERATIONS | 40.00 | $270,015 | $0 | $104,607 | Yes (X) | ||||
| HUDLIN MARGARET MD | |||||||||
| CHIEF MED OFFICER/VP PERIOPERATIVE SVCS | 40.00 | $320,214 | $0 | $52,711 | Yes (X) | ||||
| HYLKA SHARON | |||||||||
| SR. VP, HOSPITAL ADMIN UNTIL 1/14 | 40.00 | $368,190 | $0 | $598,084 | Yes (X) | ||||
| KLUGMAN ROBERT A MD | |||||||||
| CHIEF QUALITY OFFICER, UNTIL 9/30/13 | 40.00 | $358,783 | $0 | $62,384 | Yes (X) | ||||
| PHILLIPS ROBERT A MD | |||||||||
| MED DIR, HEART & VASCULAR COE, UNTIL 6/7/13 | 40.00 | $366,763 | $0 | $125,872 | Yes (X) | ||||
| RANDOLPH JOHN | |||||||||
| CHIEF COMPLIANCE OFFICER | 40.00 | $218,534 | $0 | $59,546 | Yes (X) | ||||
| THOMPSON DIANE | |||||||||
| SR. VP, CHIEF NURSING OFFICER | 40.00 | $222,088 | $0 | $107 | Yes (X) | ||||
| IITSUKA CARLOS | |||||||||
| SR. VP, STRATEGY & BUSINESS DEVELOPMENT | 40.00 | $0 | $0 | $0 | Yes (X) | ||||
| TAM STANLEY MD | |||||||||
| PHYSICIAN, CHIEF OF CARDIOTHORACIC SURGERY | 30.00 | $725,274 | $0 | $41,260 | Yes (X) | ||||
| LITWIN DEMETRIUS MD | |||||||||
| PHYSICIAN, CHAIR OF SURGERY DEPT | 27.00 | $644,629 | $0 | $41,678 | Yes (X) | ||||
| BOZORGZADEH ADEL MD | |||||||||
| PHYSICIAN, CHIEF OF ORGAN TRANSPLANTATION | 32.00 | $641,376 | $0 | $41,466 | Yes (X) | ||||
| AYERS DAVID C MD | |||||||||
| PHYSICIAN, CHAIR OF ORTHOPEDICS AND PHYSICAL REHAB | 33.00 | $621,324 | $0 | $40,800 | Yes (X) | ||||
| BUSCONI BRIAN D MD | |||||||||
| PHYSICIAN, CHIEF OF ORTHOPEDICS | 33.00 | $608,074 | $0 | $38,986 | Yes (X) | ||||
| POLANOWICZ JOHN | |||||||||
| FORMER PRESIDENT UNTIL 5/6/11, MARLBOROUGH HOSPITA | 0.00 | $217,576 | $0 | $0 | Yes (X) | ||||
| BERGAN THOMAS | |||||||||
| FORMER PRESIDENT UNTIL 10/31/11, CMMIC, INC. | 0.00 | $147,085 | $0 | $2,829 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $27,097,691 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $458,662 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $8,121,089 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2617 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| XEROX BUSINESS SVCS LLC | |||||
| PO BOX 201322 | DALLAS | TX | 75320 | I/S MANAGEMENT SERVICES | $24,204,309 |
| TURNER CONSTRUCTION | |||||
| 2 SEAPORT LANE | BOSTON | PA | 02210 | SEE FOOTNOTE A | $7,936,272 |
| MCKINSEY & CO INC US | |||||
| PO BOX 7247-7255 | PHILADELPHIA | MA | 19170 | CONSULTING SERVICES | $5,575,000 |
| MORRISON MANAGEMENT SPECIALISTS | |||||
| PO BOX 102299 | ATLANTA | GA | 30368 | DIETARY MANAGEMENT SERVICE | $5,456,955 |
| ARUP LABORATORIES INC | |||||
| 50 CHIPETA WAY | SALT LAKE CITY | UT | 84108 | LAB PROCESSING SERVICE | $4,267,151 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 164 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $80,100 | FederatedCampaignsAmt |
| Fundraising | $582,303 | FundraisingAmt |
| Related Organizations | $493,916 | RelatedOrganizationsAmt |
| Government Grants | $6,603,979 | GovernmentGrantsAmt |
| All Other Contributions | $3,927,085 | AllOtherContributionsAmt |
| Noncash Contributions | $168,946 | NoncashContributionsAmt |
| Total Contributions | $11,687,383 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE RE | 900099 | $1,891,144,455 | $1,891,144,455 |
| SPECIAL MEDICAID PAYME | 900099 | $240,000,001 | $240,000,001 |
| SYSTEM ALLOCATION REVE | 900099 | $175,338,716 | $175,338,716 |
| AFFILIATE RELATED PROG | 900099 | $161,925,320 | $161,925,320 |
| OTHER PSR & JV | 900099 | $38,701,793 | $38,701,793 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,092,423 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,092,423 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,539,202,708 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,293,717 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,059 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$4,860 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,263,518 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,141 | TotalRevenueColumnAmt |
| Exclusion | $72,141 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,967,135 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $292,374 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,674,761 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,674,761 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,839,015 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,835,746 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $327,398,201 | SecuritiesAmt |
| Other | $28,682,789 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $304,277,287 | SecuritiesAmt |
| Other | $13,698,701 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $23,120,914 | SecuritiesAmt |
| Other | $14,984,088 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,105,002 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $175 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $38,104,827 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $389,867 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $582,303 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $455,346 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$65,479 | TotalRevenueColumnAmt |
| Exclusion | -$65,479 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| OTHER REVENUE | 900099 | $6,926,831 | $1,219,007 | $1,401,374 | $4,306,450 |
| LAB OUTREACH PROGRAM | 621500 | $1,397,551 | $1,397,551 | ||
| SUBLEASE INCOME | 900099 | -$72,621 | -$72,621 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,251,761 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,610,221,994 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,542,295,964 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,794,065 | UnrelatedBusinessRevenueAmt |
| Exclusion | $53,444,582 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,864,353 | TotalAmt |
| Program Services | $4,864,353 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,914 | TotalAmt |
| Program Services | $75,914 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,919,103 | TotalAmt |
| Program Services | $13,082,570 | ProgramServicesAmt |
| Management And General | $17,836,533 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $976,038,165 | TotalAmt |
| Program Services | $788,433,042 | ProgramServicesAmt |
| Management And General | $187,221,300 | ManagementAndGeneralAmt |
| Fundraising | $383,823 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,770,540 | TotalAmt |
| Program Services | $56,601,909 | ProgramServicesAmt |
| Management And General | $13,163,463 | ManagementAndGeneralAmt |
| Fundraising | $5,168 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,292,191 | TotalAmt |
| Program Services | $112,234,490 | ProgramServicesAmt |
| Management And General | $33,029,770 | ManagementAndGeneralAmt |
| Fundraising | $27,931 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,482,920 | TotalAmt |
| Program Services | $55,862,755 | ProgramServicesAmt |
| Management And General | $14,604,825 | ManagementAndGeneralAmt |
| Fundraising | $15,340 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $461,214 | TotalAmt |
| Program Services | $42,050 | ProgramServicesAmt |
| Management And General | $419,164 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,486,322 | TotalAmt |
| Program Services | $71,731 | ProgramServicesAmt |
| Management And General | $1,414,591 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $977,004 | TotalAmt |
| Program Services | $35 | ProgramServicesAmt |
| Management And General | $976,969 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,322 | TotalAmt |
| Program Services | $229,322 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,241 | TotalAmt |
| Fundraising | $301,241 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,032,187 | TotalAmt |
| Management And General | $1,032,187 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,341,403 | TotalAmt |
| Program Services | $39,389,520 | ProgramServicesAmt |
| Management And General | $11,834,868 | ManagementAndGeneralAmt |
| Fundraising | $117,015 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,755,913 | TotalAmt |
| Program Services | $397,277 | ProgramServicesAmt |
| Management And General | $1,332,680 | ManagementAndGeneralAmt |
| Fundraising | $25,956 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,478,128 | TotalAmt |
| Program Services | $15,354,711 | ProgramServicesAmt |
| Management And General | $38,110,314 | ManagementAndGeneralAmt |
| Fundraising | $13,103 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,337,164 | TotalAmt |
| Program Services | $2,730,609 | ProgramServicesAmt |
| Management And General | $606,555 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,381,326 | TotalAmt |
| Program Services | $50,307,206 | ProgramServicesAmt |
| Management And General | $32,071,473 | ManagementAndGeneralAmt |
| Fundraising | $2,647 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,491,733 | TotalAmt |
| Program Services | $1,966,288 | ProgramServicesAmt |
| Management And General | $525,370 | ManagementAndGeneralAmt |
| Fundraising | $75 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,135,817 | TotalAmt |
| Program Services | $765,760 | ProgramServicesAmt |
| Management And General | $369,052 | ManagementAndGeneralAmt |
| Fundraising | $1,005 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,335,861 | TotalAmt |
| Program Services | $15,870,032 | ProgramServicesAmt |
| Management And General | $465,829 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,909,634 | TotalAmt |
| Program Services | $70,375,194 | ProgramServicesAmt |
| Management And General | $21,534,440 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,019,350 | TotalAmt |
| Program Services | $24,190,602 | ProgramServicesAmt |
| Management And General | $28,828,748 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,799,880 | TotalAmt |
| Program Services | $21,744,716 | ProgramServicesAmt |
| Management And General | $9,985,980 | ManagementAndGeneralAmt |
| Fundraising | $69,184 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,543,800,755 | TotalAmt |
| Program Services | $1,934,562,039 | ProgramServicesAmt |
| Management And General | $608,190,483 | ManagementAndGeneralAmt |
| Fundraising | $1,048,233 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,620,545 | BOYAmt |
| EOY | $91,339,673 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,336,977 | BOYAmt |
| EOY | $51,569,765 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,360,031 | BOYAmt |
| EOY | $1,221,500 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,713,717 | BOYAmt |
| EOY | $262,415,754 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,195,940 | BOYAmt |
| EOY | $4,432,374 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,068,443 | BOYAmt |
| EOY | $41,989,817 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,006,123 | BOYAmt |
| EOY | $24,740,080 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,405,576 | BOYAmt |
| EOY | $23,751,081 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,610,954,552 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $993,983,486 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $695,523,734 | BOYAmt |
| EOY | $616,971,066 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $453,010,564 | BOYAmt |
| EOY | $459,751,041 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,979,998 | BOYAmt |
| EOY | $164,159,185 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,616,496 | BOYAmt |
| EOY | $35,417,054 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $568,745 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,301,685 | BOYAmt |
| EOY | $364,656,197 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,152,708,574 | BOYAmt |
| EOY | $2,142,414,587 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,010,702 | BOYAmt |
| EOY | $277,838,208 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $584,353 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,747,258 | BOYAmt |
| EOY | $9,420,067 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $354,202,240 | BOYAmt |
| EOY | $340,791,673 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,017,624 | BOYAmt |
| EOY | $45,087,007 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,491,001 | BOYAmt |
| EOY | $32,590,236 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $491,997,043 | BOYAmt |
| EOY | $529,651,940 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,262,465,868 | BOYAmt |
| EOY | $1,235,963,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $729,998,071 | BOYAmt |
| EOY | $741,359,678 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,424,280 | BOYAmt |
| EOY | $86,449,119 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,820,355 | BOYAmt |
| EOY | $78,642,306 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $890,242,706 | BOYAmt |
| EOY | $906,451,103 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,152,708,574 | BOYAmt |
| EOY | $2,142,414,587 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $66,421,239 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,826,783 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$45,386,059 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $168,338 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | Yes (1) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $60,984 | RalliesDemonstrationsAmt |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $229,322 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $112,462,194 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,419,969 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$4,425,190 | OtherExpendituresAmt |
| Administrative Expenses | -$2,355,313 | AdministrativeExpensesAmt |
| End Year Balance | $115,101,660 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $109,418,023 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8,142,465 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$5,098,294 | OtherExpendituresAmt |
| End Year Balance | $112,462,194 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $98,294,963 | BeginningYearBalanceAmt |
| Contributions | $2,557,800 | ContributionsAmt |
| Investment Earnings Or Losses | $12,021,986 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,456,726 | OtherExpendituresAmt |
| End Year Balance | $109,418,023 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $104,017,758 | BeginningYearBalanceAmt |
| Contributions | $316,330 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,402,463 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,636,662 | OtherExpendituresAmt |
| End Year Balance | $98,294,963 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $98,561,352 | BeginningYearBalanceAmt |
| Contributions | $1,245,442 | ContributionsAmt |
| Investment Earnings Or Losses | $5,785,214 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,574,250 | OtherExpendituresAmt |
| End Year Balance | $104,017,758 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.68000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.32000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,629,645 | OtherCostOrOtherBasisAmt |
| Book Value | $15,629,645 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $833,637,012 | OtherCostOrOtherBasisAmt |
| Depreciation | $489,830,840 | DepreciationAmt |
| Book Value | $343,806,172 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,378,136 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,435,108 | DepreciationAmt |
| Book Value | $9,943,028 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $709,550,207 | OtherCostOrOtherBasisAmt |
| Depreciation | $486,892,951 | DepreciationAmt |
| Book Value | $222,657,256 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,759,552 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,824,587 | DepreciationAmt |
| Book Value | $24,934,965 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $616,971,066 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (14 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| TIFF ABSOLUTE RETURN POOL (6,291 SHARES) | $28,503,832 | F |
| TIFF PRIVATE EQUITY PARTNERS 2006 (2,390,322 SHARES) | $2,390,322 | F |
| FRANK RUSSELL GLOBAL PRIVATE EQUITY FUND (287,046 SHARES) | $287,046 | F |
| BENEFICIAL INTEREST IN TRUSTS | $73,103,922 | F |
| AETOS CAPITAL LONG/SHORT STRATEGIES (70,908 SHARES) | $8,174,982 | F |
| AETOS CAPITAL DISTRESSED INV STRATEGIES (23,360 SHARES) | $3,567,615 | F |
| AETOS CAPITAL MULTI-STRATEGY ARBITRAGE (39,011 SHARES) | $4,796,637 | F |
| MPPLTD/PORTFOLIO CLASS A (1,211 SHARES) | $46,469 | F |
| TIFF ABSOLUTE RETURN POOL CLASS C (3,876 SHARES) | $8,055,517 | F |
| OMEGA OVERSEAS (132,985 SHARES) | $22,245,419 | F |
| GSO SPECIAL SITUATIONS (10,000 SHARES) | $10,235,000 | F |
| TOURMALET MATAWIN OFFSHORE FUND VI LP (2,204,110 SHS) | $2,204,110 | F |
| EASTWARD CAPITAL PARTNERS VI LP (428,314 SHARES) | $428,314 | F |
| COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | $120,000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $164,159,185 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $364,656,197 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $529,651,940 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | 0 | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UMASS MEMORIAL FOUNDATION INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 SOUTH STREET | AddressLine1 |
| City | SHREWSBURY | City |
| State | MA | State |
| ZIP Code | 01545 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | FUNDRAISING | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $1,741,228 | GrossReceiptsAmt |
| Retained By Contractor | $301,241 | RetainedByContractorAmt |
| Net To Organization | $1,439,987 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $1,741,228 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $301,241 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $1,439,987 | TotalNetToOrganizationAmt |
| Licensed States | MA | LicensedStatesCd |
| Licensed States | NH | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | PARENT-WINTER BALL | NameOfEvent1Amt |
| Gross Receipts Event1 | $361,450 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $247,634 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $113,816 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $113,816 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | CNEHA GOLF TOURNAMENT | NameOfEvent2Amt |
| Gross Receipts Event2 | $245,907 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $110,269 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $135,638 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $27,538 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $98,062 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $22,065 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 10 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $364,813 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $224,400 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $140,413 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $18,452 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $19,955 | RentFcltyCostsOtherEventsAmt |
| Entertainment Other Events | $7,500 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $147,958 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $972,170 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $582,303 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $389,867 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $45,990 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $118,017 | RentFcltyCostsTotalEventsAmt |
| Entertainment Total Events | $7,500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $283,839 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $455,346 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$65,479 | NetIncomeSummaryAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2B - FUNDRAISER ADDITIONAL INFORMATION (CONTINUED) | UMASS MEMORIAL HEALTH CARE, INC. PAYS UMASS MEMORIAL FOUNDATION, INC. ITS PRORATA SHARE OF OPERATING EXPENSES BASED ON THE SPLIT OF UMASS MEMORIAL CONTRIBUTION RECEIPTS VERSUS THE OVERALL TOTAL CONTRIBUTION RECEIPTS AS COLLECTED BY THE FOUNDATION. |
| SCHEDULE G - ADDITIONAL INFORMATION | PART II, COLUMN (A) EVENT #1 THE WINTER BALL WAS HELD BY THE PARENT PART II, COLUMN (B) EVENT #2 THE HOSPITAL GOLF TOURNEY WAS HELD BY CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. PART II, COLUMN (C) OTHER EVENTS (10 EVENTS REPORTED) ARE: 1. SPEAKEASY HELD BY HEALTHALLIANCE HOSPITALS 2. DENNEHY GOLF TOURNAMENT HELD BY 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,040,739 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,431,653 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,609,086 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $324,419,180 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $293,624,509 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,794,671 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01750 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,164,562 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,146,549 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,018,013 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $392,624,481 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $344,202,711 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,421,770 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02750 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,511,152 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,395,288 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,115,864 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $223,630,447 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $151,469,450 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $72,160,997 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04110 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $88,217,094 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,849,933 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,367,161 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,276,827 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $65,750 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,211,077 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,260,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,780,304 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $479,696 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $319,895,520 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $233,560,725 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $86,334,795 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04920 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $712,520,001 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $577,763,436 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $134,756,565 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07670 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,563 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,563 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,548 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,548 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $202,403 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $202,403 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $212,514 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $212,514 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,743,675 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,670,196 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $340,169,164 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $364,432,400 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$24,263,236 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (14 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | |||
| PROVIDES INSURANCE | 1.00000 | 0.00000 | 0.00000 |
| 2 UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP | |||
| MANAGES POOLED INVESTMENTS | 1.00000 | 0.00000 | 0.00000 |
| 3 UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC | |||
| MAGNETIC RESONANCE IMAGING CENTER | 0.60000 | 0.00000 | 0.00000 |
| 4 UMASS MEMORIAL MRI OF MARLBOROUGH LLC | |||
| MAGNETIC RESONANCE IMAGING CENTER | 0.56000 | 0.00000 | 0.00000 |
| 5 MEMORIAL OFFICE CONDOMINIUM TRUST | |||
| CONDO ASSOCIATION THAT OWNS MEDICAL OFFICE BUILDING | 0.53690 | 0.00000 | 0.00000 |
| 6 UMASS MEMORIAL MRI & IMAGING CENTER LLC | |||
| MAGNETIC RESONANCE IMAGING CENTER | 0.50000 | 0.00000 | 0.00000 |
| 7 NEW ENGLAND REHABILITATION SERVICES OF CENTRAL MASSACHUSETTS INC | |||
| ACUTE CARE REHABILITATION FACILITY | 0.20000 | 0.00000 | 0.00000 |
| 8 BIO LABS INC | |||
| CLINICAL LABORATORY | 1.00000 | 0.00000 | 0.00000 |
| 9 HEALTHALLIANCE WITH PHYSICIANS INC | |||
| PHYSICIAN ALLIANCE | 0.50000 | 0.00000 | 0.00000 |
| 10 SHIELDS IMAGING OF MASSACHUSETTS LLC | |||
| MANAGEMENT COMPANY FOR PET IMAGING | 0.25000 | 0.00000 | 0.00000 |
| 11 UMASS MEMORIAL SHIELDS PHARMACY LLC | |||
| PHARMACY SERVICES | 0.50000 | 0.00000 | 0.00000 |
| 12 116 BELMONT STREET INC | |||
| CONDO ASSOCIATION | 0.63040 | 0.00000 | 0.00000 |
| 13 SHIELDS SPECIALTY PHARMACY OF SPRINGFIELD LLC | |||
| PHARMACY SERVICES | 0.50000 | 0.00000 | 0.00000 |
| 14 SPECIALTY PHARMACY OF NEWARK | |||
| PHARMACY SERVICES | 0.50000 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 4 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (4 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER INC | ||||||||||
| 1 | 55 LAKE AVE 119 BELMONT STREET | WORCESTER | MA | 01605 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| HEALTHALLIANCE HOSPITAL INC | ||||||||||
| 2 | 60 HOSPITAL ROAD | LEOMINSTER | MA | 01453 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||
| MARLBOROUGH HOSPITAL | ||||||||||
| 3 | 157 UNION STREET | MARLBOROUGH | MA | 01752 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||
| CLINTON HOSPITAL ASSOCIATION | ||||||||||
| 4 | 201 HIGHLAND STREET | CLINTON | MA | 01510 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Develop Community Wide PlanDevelopCommunityWidePlanInd | Exec Community Wide PlanExecCommunityWidePlanInd | Include Operational PlanIncludeOperationalPlanInd | Adopt BudgetAdoptBudgetInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Insurance StatusInsuranceStatusInd | Uninsured DiscountUninsuredDiscountInd | State RegulationStateRegulationInd | Other FactorsOtherFactorsInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Attached To InvoiceAttachedToInvoiceInd | Posted In Emergency RoomPostedInEmergencyRoomInd | Posted In Admission OfficePostedInAdmissionOfficeInd | Provided On AdmissionProvidedOnAdmissionInd | Available On RequestAvailableOnRequestInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit Other ActionsPermitOtherActionsInd | Collection ActivitiesCollectionActivitiesInd | Other ActionsOtherActionsInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | OtherOtherInd | Other PublicityOtherPublicityInd | Other Actions TakenOtherActionsTakenInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER INC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | 0 | Yes (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) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 600.000000000000 | Yes (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) | 0 | Yes (1) | |||
| HEALTHALLIANCE HOSPITAL INC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (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) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 600.000000000000 | Yes (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) | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | |||||||
| MARLBOROUGH HOSPITAL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (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) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 600.000000000000 | Yes (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) | 0 | Yes (1) | |||||||||
| CLINTON HOSPITAL ASSOCIATION | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 600.000000000000 | Yes (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) | 0 | Yes (1) | |||||||
Supplemental Information SupplementalInformationGrp (33 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 HOSPITAL | PART 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 ASSOCIATION | PART 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 HOSPITAL | PART V, SECTION B, LINE 4: THE ASSESSMENT WAS DONE IN CONJUNCTION WITH THE METRO WEST MEDICAL CENTER. |
| CLINTON HOSPITAL ASSOCIATION | PART 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 HOSPITAL | PART 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 ASSOCIATION | PART 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 HOSPITAL | 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 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 ASSOCIATION | 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. |
| 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 HOSPITAL | 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 MARLBOROUGH'S BOARD OF TRUSTEES. ALL APPROVALS BY THE BOARD OF TRUSTEES WILL BE MADE ON AN INDIVIDUAL CASE BASES. WE ALSO SEND STATEMENTS AND MAKE PHONE CALLS. |
| CLINTON HOSPITAL ASSOCIATION | PART V, SECTION B, LINE 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 HOSPITAL | PART 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 ASSOCIATION | PART 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 HOSPITAL | PART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT. |
| CLINTON HOSPITAL ASSOCIATION | PART 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 HOSPITAL | PART 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 ASSOCIATION | PART 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| UMASS MEMORIAL LABORATORIES | ||||
| BIOTECH ONE 365 PLANTATION STREET | WORCESTER | MA | 01605 | SATELLITE - LAB SERVICES |
| UMASS MEMORIAL MED CENTER(PATHOLOGY) | ||||
| BIOTECH THREE ONE INNOVATION DRIVE | WORCESTER | MA | 01605 | SATELLITE - PATHOLOGY SERVICES |
| UMASS MEMORIAL MED CENTER AMBULANCE | ||||
| 23 WELL STREET | WORCESTER | MA | 01604 | SATELLITE - AMBULATORY SERVICES |
| UMASS MEMORIAL MED CENTER AMBULANCE | ||||
| 100 PROVIDENCE STREET | WORCESTER | MA | 01604 | SATELLITE - AMBULATORY SERVICES |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 STATES | MA |
| PART VI LINE 7 | YES, ALL FOUR HOSPITALS FILE INDIVIDUAL COMMUNITY BENEFIT REPORTS WITH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|
| EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC | ||||||
| 19 TACOMA STREET | WORCESTER | MA | 01605 | 042513817 | $1,000,000 | SUPPORT FOR HEALTH CENTER'S MISSION |
| FAMILY HEALTH CENTER OF WORCESTER INC | ||||||
| 26 QUEEN STREET | WORCESTER | MA | 01610 | 042485308 | $1,000,000 | SUPPORT FOR HEALTH CENTER'S MISSION |
| UNIVERSITY OF MA MEDICAL SCHOOL | ||||||
| 55 LAKE AVE | WORCESTER | MA | 01655 | 043167352 | $2,000,000 | ACADEMIC CHAIR FUNDING |
| UNIVERSITY OF MA MEDICAL SCHOOL | ||||||
| 55 LAKE AVE | WORCESTER | MA | 01655 | 043167352 | $200,000 | MUSCULOSKELETAL CENTER EXCELLENCE GRANT |
| UNIVERSITY OF MA MEDICAL SCHOOL | ||||||
| 55 LAKE AVE | WORCESTER | MA | 01655 | 043167352 | $50,000 | INTERVENTIONAL NEURORADIOLOGY RESEARCH |
| UNIVERSITY OF MA MEDICAL SCHOOL | ||||||
| 55 LAKE AVE | WORCESTER | MA | 01655 | 043167352 | $30,000 | COMPLEX AORTIC ANEURYSM REPAIR STUDY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | INTERNSHIPS | GrantTypeTxt |
| Recipient | 33 | RecipientCnt |
| Cash Grant | $75,914 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I, PART I LINE 2: | FormAndLineReferenceDesc |
| Explanation | PART I LINE 2: MEDICAL CENTER: AT REASONABLE INTERVALS, RE-EVALUATION OF THE GRANTS 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (67 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALFRED HOWARD MD | ||||||||||||||
| DIRECTOR, UMM ACO, INC. | $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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINES 4A-B | FormAndLineReferenceDesc |
| Explanation | PART I, LINE 4A: RECEIVE A SEVERANCE PAYMENT OR CHANGE-OF-CONTROL PAYMENT. THE FOLLOWING INDIVIDUALS RECEIVED OR HAD DEFERRED SEVERANCE IN THE REPORTING PERIOD: INCLUDED IN SCH. J COL. BIII: 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 $3,118,543 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MHEFA-UMASS MEMORIAL SERIES D | ||||||||
| A | 042456011 | 57586CLQ6 | 2005-08-18 | $107,450,000 | SEE PART VI | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES E | ||||||||
| B | 042456011 | 57586EHZ7 | 2009-05-22 | $30,000,000 | SEE PART VI | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES F | ||||||||
| C | 042456011 | 57586EJA0 | 2009-05-22 | $30,000,000 | SEE PART VI | 0 | 0 | 0 |
| MHEFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A | ||||||||
| D | 042456011 | 2009-11-24 | $9,420,000 | SEE PART VI | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $110,277,415 | $10,709,415 | $5,411,300 | $1,384,731 | $3,183,269 | $95,000,000 | 2006 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $30,062,453 | $308,592 | $205,455 | $29,856,998 | 2012 | 0 | 0 | Yes (1) | Yes (1) | $2,710,000 | ||
| C | $30,062,772 | $517,293 | $118,700 | $29,944,072 | 2012 | 0 | 0 | Yes (1) | Yes (1) | $2,710,000 | ||
| D | $9,420,000 | $208,184 | $93,458 | $9,326,542 | 2009 | Yes (1) | 0 | Yes (1) | Yes (1) | $975,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00580 | 0.00000 | 0.00580 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) | |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|
| A | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| B | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I - BOND ISSUES | MHEFA - 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 ISSUE | PART 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 ISSUE | PART I COLUMN (C ) CUSIP #: 57586EHZ7 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS |
| PART I - BOND ISSUE | PART I COLUMN (C ) CUSIP #: 57586EJA0 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS |
| PART I - BOND ISSUE | PART I COLUMN (F) DESCRIPTION OF PURPOSE: PAY OFF HEFA POOL O LOAN, ER RENOVATIONS, EICU EQUIPMENT, CT SCAN LEASE, MAMMOGRAPHY UNIT |
| PART I - BOND ISSUE | PART 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 ISSUE | PART 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 - PROCEEDS | MHEFA - UMASS MEMORIAL, SERIES D COLUMN (E) ISSUE PRICE OF $107,450,000; ADD ISSUE PREMIUM OF $604,814, ADD INTEREST EARNED ON PROCEEDS OF $3,183,269, 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| MHEFA-UMASS MEMORIAL MASTER LEASE | |||||||
| A | 042456011 | 2005-12-07 | $10,000,000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | |||||||
| B | 042456011 | 2006-12-27 | $20,000,000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | |||||||
| C | 042456011 | 2008-04-24 | $20,000,000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | |||||||
| D | 042456011 | 2009-07-24 | $20,000,000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capitalized InterestCapitalizedInterestAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $10,000,000 | $10,000,000 | $10,000,000 | 2006 | 0 | 0 | Yes (1) | Yes (1) | |||
| B | $20,000,000 | $20,717,238 | $19,973,035 | 2007 | 0 | 0 | Yes (1) | Yes (1) | $26,965 | $717,238 | |
| C | $20,000,000 | $20,152,952 | $19,970,928 | 2009 | 0 | 0 | Yes (1) | Yes (1) | $29,072 | $152,952 | $19,679 |
| D | $16,978,713 | $20,024,254 | $19,971,500 | 2010 | 0 | 0 | Yes (1) | Yes (1) | $28,500 | $24,254 | $163,876 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|
| A | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| D | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MHEFA-UMASS MEMORIAL SERIES G | ||||||||
| A | 042456011 | 57586EUS8 | 2010-05-27 | $60,445,000 | SEE PART VI | 0 | 0 | 0 |
| MDFA-UMASS MEMORIAL MASTER LEASE | ||||||||
| B | 043431814 | 2010-12-09 | $20,000,000 | CAPITAL EQUIPMENT | 0 | 0 | 0 | |
| MDFA-UMASS MEMORIAL SERIES H | ||||||||
| C | 043431814 | 57583UGP7 | 2011-08-10 | $90,990,000 | SEE PART VI | 0 | 0 | 0 |
| MDFA-UMASS MEMORIAL MASTER LEASE | ||||||||
| D | 043431814 | 2011-12-28 | $20,000,000 | CAPITAL EQUIPMENT | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $18,575,000 | $61,833,836 | $2,284,688 | $60,734,797 | $1,099,039 | 2010 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $12,270,030 | $20,005,301 | $156,173 | $33,031 | 2011 | 0 | 0 | Yes (1) | Yes (1) | $5,301 | $19,966,969 | |
| C | $10,850,000 | $92,293,778 | $4,347,869 | $91,585,463 | $1,235,315 | 2011 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| D | $8,930,649 | $20,013,504 | $208,789 | $29,000 | 2013 | 0 | 0 | Yes (1) | Yes (1) | $13,504 | $19,971,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|
| A | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| D | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MDFA-UMASS MEMORIAL MASTER LEASE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 043431814 | BondIssuerEIN |
| Bond Issued | 2013-08-14 | BondIssuedDt |
| Issue Price | $20,000,000 | IssuePriceAmt |
| Purpose | CAPITAL EQUIPMENT | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $3,509,826 | RetiredAmt |
| Total Proceeds | $20,000,723 | TotalProceedsAmt |
| Capitalized Interest | $209,864 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $36,810 | IssuanceCostsFromProceedsAmt |
| Working Capital Expenditures | $723 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $19,963,190 | CapitalExpendituresAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | Yes (1) | Form8038TFiledInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| FLOYD CONNELLY | |||||||
| FORMER EXECUTIVE DIRECTOR OF CMMIC, INC. | CSV OF LIFE INSURANCE | Yes (X) | $455,570 | $279,108 | 0 | Yes (1) | Yes (1) |
| THOMAS CUMMINGS | |||||||
| FORMER CEO OF MARLBOROUGH HOSPITAL | CSV OF LIFE INSURANCE | Yes (X) | $377,630 | $217,279 | 0 | Yes (1) | Yes (1) |
| WILLIAM J WILLIAMS | |||||||
| FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC. | CSV OF LIFE INSURANCE | Yes (X) | $1,981,627 | $3,935,987 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $4,432,374 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (14 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ROBERT KLUGMAN MD | |||
| KEY EMPLOYEE (UNTIL 9/30/13) | $210,071 | RENTAL OF PROPERTY - EXPENSE | 0 |
| FERNANDO CATALINA MD | |||
| BOD | $290,261 | RENTAL OF PROPERTY - INCOME | 0 |
| ANTHONY J MERCADANTE | |||
| BOD | $437,279 | PHYSICIAN SERVICES WERE PROVIDED TO HA HOSPITALS, INC. BY CARDIOLOGY INTERNISTS OF LEOMINSTER, INC., OF WHICH ANTHONY J. MERCADANTE'S BROTHER, NICHOLAS MERCADANTE, IS A PRINCIPAL. | 0 |
| EDWARD MANZI | |||
| BOD | $209,570 | RENTAL OF PROPERTY - EXPENSE | 0 |
| ERIC W DICKSON MD | |||
| OFFICER/BOD | $300,197 | ED SERVICES WERE PROVIDED TO HA HOSPITALS, INC. BY WACHUSETT EMERGENCY PHYSICIANS PC, A COMPANY WHICH CONTRACTS ED SERVICES FROM PRINCETON BIO-MEDICAL, A COMPANY WHICH IS CO-OWNED BY ERIC W. DICKSON, M.D. & HIS SPOUSE CATHERINE JONES, M.D. | 0 |
| JOHN H BUDD (OF COUNSEL) | |||
| CURRENT DIRECTOR | $840,118 | LEGAL SERVICES WERE PROVIDED TO UMM HEALTH CARE, INC. AND UMM MEDICAL CENTER, INC. BY MIRICK, O'CONNELL, DEMALLIE, & LOUGEE, LLP. JOHN H. BUDD IS OF COUNSEL TO THIS LAW FIRM BUT PERFORMED NO WORK FOR UMM AND/OR AFFILIATED ENTITIES. | 0 |
| KATHLEEN HYLKA | |||
| FAMILY MEMBER OF SHARON HYLKA, KEY EMPLOYEE (JANUARY 2014 RETIREMENT) | $94,947 | EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC. | 0 |
| JOANNE D'ONFRO | |||
| FAMILY MEMBER OF PAUL D'ONFRO, DIRECTOR | $48,634 | EMPLOYMENT ARRANGEMENT W/ HA HOSPITALS, INC. | 0 |
| ELLEN CARLUCCI | |||
| FAMILY MEMBER OF DANIEL CARLUCCI, M.D., DIRECTOR | $124,725 | EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL | 0 |
| KATHRYN C MAY | |||
| FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER OF CHL, INC. | $42,647 | EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC. | 0 |
| EILEEN HENRICKSON RN | |||
| FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER OF CHL, INC. | $114,568 | EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC. | 0 |
| KAREN BUCKLEY RN | |||
| FAMILY MEMBER OF MARY CARLSON, DIRECTOR OF MARLBOROUGH HOSPITAL | $63,507 | EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL | 0 |
| ELAINE GRANVILLE RN | |||
| FAMILY MEMBER OF CHERYL LAPRIORE, CURRENT OFFICER & DIRECTOR | $80,830 | EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC. | 0 |
| JOSHUA P SZYMANSKI | |||
| FAMILY MEMBER OF CANDRA SZYMANSKI, OFFICER & DIRECTOR (UNTIL 12/13) | $26,392 | EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 7 | ContributionCnt |
| Noncash Contributions Rpt F990 | $168,946 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV/SELLING PRICE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 32B: | FormAndLineReferenceDesc |
| Explanation | UMASS 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 PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL HEALTH VENTURES INC | |||||||||
| CAITLIN RAYMOND INTERNATIONAL REGISTRY, INC. - CASH | 2014-09-30 | $83,542 | BOOK VALUE | 222605679 | 306 BELMONT STREET | WORCESTER | MA | 01604 | 501(C)(3) |
| UMASS MEMORIAL HEALTH VENTURES INC | |||||||||
| CAITLIN RAYMOND INTERNATIONAL REGISTRY, INC. - NOTES RECEIVABLE | 2014-09-30 | $1,665 | BOOK VALUE | 222605679 | 306 BELMONT STREET | WORCESTER | MA | 01604 | 501(C)(3) |
| UMASS MEMORIAL HEALTH VENTURES INC | |||||||||
| CAITLIN RAYMOND INTERNATIONAL REGISTRY, INC. - OTHER ASSETS | 2014-09-30 | $13,760 | BOOK VALUE | 222605679 | 306 BELMONT STREET | WORCESTER | MA | 01604 | 501(C)(3) |
| CLINTON HOSPITAL ASSOCIATION | |||||||||
| CLINTON HOSPITAL FOUNDATION (EIN: 04-3357881) - CASH | 2014-09-30 | $123,505 | BOOK VALUE | 041185520 | 201 HIGHLAND STREET | CLINTON | MA | 01510 | 501(C)(3) |
| CLINTON HOSPITAL ASSOCIATION | |||||||||
| CLINTON HOSPITAL FOUNDATION (EIN: 04-3357881) - PLEDGES RECEIVABLE | 2014-09-30 | $281,149 | BOOK VALUE | 041185520 | 201 HIGHLAND STREET | CLINTON | MA | 01510 | 501(C)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | Yes (1) | DirectorOfSuccessorInd |
| Employee Of Successor | 0 | EmployeeOfSuccessorInd |
| Owner Of Successor | 0 | OwnerOfSuccessorInd |
| Receive Compensation | 0 | ReceiveCompensationInd |
| Assets Distributed | Yes (1) | AssetsDistributedInd |
| Required To Notify AG | Yes (1) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (1) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (1) | LiabilitiesPaidInd |
| Bonds Outstanding | 0 | BondsOutstandingInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2E: | FormAndLineReferenceDesc |
| Explanation | PERSON(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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DISCLOSURE 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 6 | THERE ARE NO CLASSES OF DIRECTORS. THE VOTING RIGHTS OF EACH MEMBER'S BOARD ARE ABSOLUTE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MAJORITY OF ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (WHICH IS ALSO WITHIN THE CONSOLIDATED GROUP) THAT ELECTS THE BOARD OF TRUSTEES. THERE ARE NO CLASSES OF TRUSTEES. THE MAJORITY OF THE ENTITIES RESERVE TO THE MEMBER THE POWER TO REMOVE TRUSTEES, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MAJORITY OF THE ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (WHICH IS ALSO WITHIN THE CONSOLIDATED GROUP) WITH THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ENTITY, WHICH IS EXERCISED BY THAT MEMBER'S BOARD OF TRUSTEES. THERE ARE NO CLASSES OF TRUSTEES OR MEMBERS. THUS, THE VOTING RIGHTS OF A MEMBER BOARD ARE ABSOLUTE. GENERALLY, THE SOLE MEMBER OF EACH ENTITY RESERVES THE POWER TO APPROVE MAJOR TRANSACTIONS; TO MERGE, CONSOLIDATE OR LIQUIDATE THE CORPORATION'S ASSETS; TO ADOPT ANNUAL OPERATING AND CAPITAL BUDGETS AND AMENDMENTS; TO ENTER INTO LOAN AGREEMENTS AND/OR GUARANTEES; TO APPOINT AND/OR ELECT THE PRESIDENT AND/OR CEO; TO ELECT AND/OR APPOINT AND REMOVE TRUSTEES, FILL VACANCIES, TO INCREASE OR DECREASE THE SIZE OF THE BOARD; AND TO APPROVE UNBUDGETED EXPENDITURES. |
| FORM 990, PART VI, SECTION B, LINE 11 | SECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD. THE COMPLIANCE COMMITTEE OF THE BOARD REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990, INCLUDING THE ABOVE SCHEDULES AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL. THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | PAGE 6 SECTION B. POLICIES LINE 12C: THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS AND MANAGEMENT TO COMPLETE ANNUAL DISCLOSURE STATEMENTS AND, TO UPDATE THESE DISCLOSURE STATEMENTS FOR SIGNIFICANT CHANGES IN THEIR OUTSIDE GOVERNANCE AND PROFESSIONAL ACTIVITIES OR, FINANCIAL RELATIONSHIPS AS APPROPRIATE. ADDITIONALLY, ALL TRANSACTIONS INVOLVING BOARD MEMBERS OR MANAGEMENT AND THE ORGANIZATION ARE REQUIRED TO BE APPROVED BY THE COMPLIANCE COMMITTEE OF THE BOARD AND, THERE IS ACTIVE MONITORING AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH DECISIONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | PAGE 6 SECTION B. POLICIES LINE 15B: AT UMASS MEMORIAL, ALL COMPENSATION MATTERS FOR THE CEO AND SENIOR EXECUTIVES THROUGHOUT THE SYSTEM (INCLUDING ALL "DISQUALIFIED PERSONS") ARE GOVERNED AND OVERSEEN BY THE BOARD OF TRUSTEES OF THE PARENT. THE BOARD APPROVED A COMPENSATION PHILOSOPHY THAT GOVERNS ALL SUCH DECISIONS. THE PHILOSOPHY INCLUDES THE OBJECTIVES OF THE PROGRAM, COMPONENTS OF EXECUTIVE COMPENSATION, THE RELEVANT MARKET, POSITIONING IN THE MARKET, FACTORS CONSIDERED IN SETTING EXECUTIVE COMPENSATION AND THE IMPORTANCE OF TYING SUCH COMPENSATION TO PERFORMANCE. THE BOARD ESTABLISHED A COMPENSATION COMMITTEE, MADE UP OF DISINTERESTED TRUSTEES, WHO ARE GIVEN THE AUTHORITY TO ESTABLISH COMPENSATION FOR ALL SENIOR EXECUTIVES, WITHIN THE PARAMETERS OF THE PHILOSOPHY, AND WITH FULL AND 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 19 | PAGE 6: LINE 19 UMASS MEMORIAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AS REQUIRED BY APPLICABLE STATE AND FEDERAL LAWS, AND BY REQUEST ON A CASE-BY-CASE BASIS. |
| PAGE 8 PART VII SECTION B. INDEPENDENT CONTRACTORS - DESCRIPTION OF SERVICE | DESCRIPTION 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 ORGANIZATIONS | THE 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 - CONTINUED | MARLBOROUGH HOSPITAL: BETWEEN 2000 AND 2011, MARLBOROUGH EXPERIENCED THE GREATEST POPULATION INCREASED FROM 36,255 TO 38,087 (5.1%), NEARLY TWICE AS LARGE OF A PERCENT CHANGE AT THE STATE LEVEL (2.6%). HUDSON'S POPULATION ALSO EXCEEDED THE STATE'S 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 13 | HEALTHALLIANCE 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL FOUNDATION INC | ||||||||||
| 333 SOUTH STREET | SHREWSBURY | MA | 01545 | 043108190 | FUNDRAISING SUPPORT | MA | 501(C)(3) | 11C | N/A | 0 |
| HEALTH ALLIANCE REALTY CORPORATION | ||||||||||
| 60 HOSPITAL ROAD | LEOMINSTER | MA | 01473 | 042560754 | REAL ESTATE MANAGEMENT | MA | 501(C)(3) | N/A | N/A | 0 |
| WING MEMORIAL HOSPITAL CORPORATION | ||||||||||
| 40 WRIGHT STREET | PALMER | MA | 01069 | 222519813 | HOSPITAL | MA | 501(C)(3) | 3 | N/A | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP | |||||||||||||||
| ONE BIOTECH PARK 355 PLANTATION ST | WORCESTER | MA | 01605 | 043530755 | INVESTMENT MANAGEMENT | MA | N/A | EXCLUDED 514 | $37,784,350 | $457,383,409 | 0 | -$4,860 | Yes (1) | 1.00000 | |
| UMASS MEMORIAL MRI OF MARLBOROUGH LLC | |||||||||||||||
| 157 UNION STREET | MARLBOROUGH | MA | 01752 | 202293995 | MAGNETIC RESONANCE IMAGING | MA | RELATED | $583,958 | $351,727 | 0 | 0 | 0.56000 | MARLBOROUGH HOSPITAL | ||
| UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC | |||||||||||||||
| 60 HOSPITAL ROAD | LEOMINSTER | MA | 01453 | 043561571 | MAGNETIC RESONANCE IMAGING | MA | N/A | RELATED | $1,013,065 | $1,275,329 | 0 | 0 | 0.60000 | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD | |||||||||||||||||
| PO BOX 1051 GT | GRAND CAYMAN | CJ | 980226143 | INSURANCE | CJ | N/A | C | $5,550,915 | $191,248,501 | 1.00000 | 0 | ||||||
| MEMORIAL OFFICE CONDOMINIUM TRUST | |||||||||||||||||
| 046616900 | CONDOMINIUM ASSOCIATION | T | $453,097 | 0.53690 | 0 | 306 BELMONT STREET | WORCESTER | MA | 01604 | MA | UMASS MEMORIAL MEDICAL CENTER INC | ||||||
| BIO-LAB INC | |||||||||||||||||
| 042708828 | CLINICAL LABORATORY | S | $1,401,374 | $2,257,921 | 1.00000 | 0 | 215 WEST STREET | MILFORD | MA | 01757 | MA | UMASS MEMORIAL HEALTH VENTURES INC | |||||
| 116 BELMONT ST INC CO APPLETON CORP | |||||||||||||||||
| 042717865 | CONDOMINIUM ASSOCIATION | C | $240,844 | $228,660 | 0.63040 | 0 | 57 SUFFOLK STREET | HOLYOKE | MA | 01040 | MA | UMASS MEMORIAL REALTY INC | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | ||
| L | $25,811,705 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL CENTER INC | ||
| B | $303,161 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| Q | $599,572 | FAIR VALUE |
| UMASS MEMORIAL HEALTH VENTURES INC | ||
| P | $354,454 | FAIR VALUE |
| UMASS MEMORIAL REALTY INC | ||
| P | $380,795 | FAIR VALUE |
| MARLBOROUGH HOSPITAL | ||
| P | $3,262,903 | FAIR VALUE |
| THE CLINTON HOSPITAL ASSOCIATION | ||
| P | $1,573,160 | FAIR VALUE |
| WING MEMORIAL HOSPITAL CORPORATION | ||
| P | $1,893,016 | FAIR VALUE |
| CENTRAL NEW ENGLAND HEALTH ALLIANCE INC | ||
| P | $4,332,522 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL CENTER INC | ||
| P | $154,038,955 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| P | $40,011,021 | FAIR VALUE |
| CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER INC | ||
| P | $118,974 | FAIR VALUE |
| COMMUNITY HEALTHLINK INC | ||
| P | $579,294 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| B | $359,006 | FAIR VALUE |
| UMASS MEMORIAL REALTY INC | ||
| J | $3,673,497 | FAIR VALUE |
| THE CLINTON HOSPITAL ASSOCIATION | ||
| B | $328,835 | FAIR VALUE |
| COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | ||
| P | $36,137,297 | FAIR VALUE |
| UMASS MEMORIAL HEALTH VENTURES INC | ||
| S | $21,000,000 | FAIR VALUE |