STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UMASS MEMORIAL HEALTH CARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UMASS MEMORIAL HEALTH CARE INC (EIN 91-2155626)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-08
IRS object ID
201402209349300225
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-08T10:43:36-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042684828EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN912155626EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UMASS MEMORIAL HEALTH CARE INCBusinessNameLine1
Business Name Line2& AFFILIATES - GROUP RETURNBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUMASNameControl
Phone5083340496Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameSERGIO MELGARName
TitleEVP/CFO/TREASURERTitle
Phone5083340496Phone
Date Signed2014-07-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALAN GAROFALOName
PTINP00744592PTIN
Phone6177427788Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSERGIO MELGARNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1306 BELMONT STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01604ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2759187032GrossReceipts
Group Return For Affiliates1GroupReturnForAffiliates
All Affiliates Included1AllAffiliatesIncluded
Group Exemption Number3642GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.UMASSMEMORIAL.ORGWebSite
Activity Or Mission DescriptionUMASS 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body201NbrVotingMembersGoverningBody
Nbr Independent Voting Members115NbrIndependentVotingMembers
Total Nbr Employees16343TotalNbrEmployees
Total Nbr Volunteers1346TotalNbrVolunteers
Total Gross UBI8841226TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year18486920ContributionsGrantsPriorYear
Contributions Grants Current Year9831011ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2551874632ProgramServiceRevenuePriorYear
Program Service Revenue CY2475711754ProgramServiceRevenueCY
Investment Income Prior Year-1602742InvestmentIncomePriorYear
Investment Income Current Year112241056InvestmentIncomeCurrentYear
Other Revenue Prior Year44638442OtherRevenuePriorYear
Other Revenue Current Year15990297OtherRevenueCurrentYear
Total Revenue Prior Year2613397252TotalRevenuePriorYear
Total Revenue Current Year2613774118TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2056000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3477289GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1225466308SalariesEtcPriorYear
Salaries Etc Current Year1241420589SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year1213795TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year970011TotalFundrsngExpCurrentYear
Other Expense Prior Year1382216501OtherExpensePriorYear
Other Expenses Current Year1317174393OtherExpensesCurrentYear
Total Expenses Prior Year2610952604TotalExpensesPriorYear
Total Expenses Current Year2562072271TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2444648RevenuesLessExpensesPriorYear
Revenues Less Expenses CY51701847RevenuesLessExpensesCY
Total Assets BOY2000206154TotalAssetsBOY
Total Assets EOY2152708574TotalAssetsEOY
Total Liabilities BOY1364049191TotalLiabilitiesBOY
Total Liabilities EOY1262465868TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY636156963NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY890242706NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUMASS MEMORIAL HEATLH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1161573921Expense
Grants2400000Grants
Revenue1388722679Revenue
DescriptionUMASS 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 2013 KEY STATISTICS - TOTAL DISCHARGES: 38,403 TOTAL SURGICAL CASES: 29,648 TOTAL ER VISITS: 134,891Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense417243458Expense
Revenue447632422Revenue
DescriptionUMASS 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense291818318Expense
Grants77289Grants
Revenue346096417Revenue
DescriptionOTHER 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.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense74766438Expense
Grants1000000Grants
Revenue293910134Revenue
DescriptionUMASS MEMORIAL COMMUNITY HOSPITALSTHE UMASS MEMORIAL COMMUNITY HOSPITALS (CLINTON HOSPITAL, HEALTH ALLIANCE HOSPITALS, INC., MARLBOROUGH HOSPITAL, WING MEMORIAL HOSPITAL AND MEDICAL CENTERS) ARE COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF THE COMMUNITIES THAT THEY SERVE THROUGH EXCELLENCE IN CLINICAL CARE AND SERVICE.O 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 2013 KEY STATISTICS -TOTAL DISCHARGES: 14,710TOTAL SURGICAL CASES: 9,641TOTAL ER VISITS: 125,825Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp74766438TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt1000000TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev293910134TotalOfOtherProgramServiceRev
Total Program Service Expense1945402135TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated1Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962088NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees16343NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members201NbrVotingGoverningBodyMembers
Number Independent Voting Members115NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT FELDMANNBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5083340496TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (162 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ANDRIENI JULIA MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.31.00X304253025142
BROWN ALAN P MD
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,31.00X189608033379
BROWN DOUGLAS S
SECRETARY, UMASS MEMORIAL HEALTH CARE, INC.; SR VP40.00X5317120218497X
CARLUCCI DANIEL MD
DIRECTOR, MARLBOROUGH HOSPITAL32.00X312927027123
CAVAGNARO III CHARLES MD
PRESIDENT, WING MEMORIAL HOSPITAL40.00X3885910218011X
COFONE MICHAEL J
INTERIM PRESIDENT, CENTRAL NEW ENGLAND HEALTHALLIA40.00X291379023427X
CORBETT WILLIAM MD
DIRECTOR, MARLBOROUGH HOSPITAL40.00X3929750100060
DALY SHEILA
PRESIDENT, DIRECTOR, CLINTON HOSPITAL ASSOCIATION40.00X2860080135083X
DICKSON ERIC W MD
PRESIDENT & CEO, UMASS MEMORIAL HEALTH CARE, INC.40.00X5453400168423X
FAIRCHILD DAVID MD
DIRECTOR, UMASS MEMORIAL HOSPITALS, INC.40.00X450045087215
FERGUSON R KEVIN MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.40.00X219260034758
FERRUCCI JOSEPH MD
DIRECTOR, CMMIC, INC.32.00X383230039112
FINBERG ROBERT W MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.20.00X2991430159525
GOTTLIEB PHILIP D MD
DIRECTOR, CLINTON HOSPITAL ASSOCIATION40.00X373805044328
KEATING TODD A
TREASURER & CFO, DIRECTOR, UMASS MEMORIAL HEALTH C40.00X6066110292549X
KENNEDY KATHRYN MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.36.00X286961040429
LAPIDAS GARY N
PRESIDENT, DIRECTOR, UNTIL 1/18/13 UMASS MEMORIAL40.00X4782120214570X
LAPRIORE CHERYL M
PRESIDENT, DIRECTOR, UMASS MEMORIAL HEALTH VENTURE40.00X298443093310X
LASSER DANIEL H MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.20.00X2698810172588
MAGUIRE DAVID L MD
DIRECTOR, WING MEMORIAL HOSPITAL40.00X250203011174
MATTA LALITA MD
DIRECTOR, MARLBOROUGH HOSPITAL24.00X129859025242
MESSINA LOUIS MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.36.00X632105040438
METZMAKER JEFFREY N MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.29.00X407081037438
MOORE KAREN
PRESIDENT, DIRECTOR, UNTIL 3/25/13 MARLBOROUGH HOS40.00X3288620309053X
MULDOON PATRICK L
PRESIDENT, UMM MEDICAL CENTER & PRESIDENT, COORDIN40.00X5289630238516X
O'BRIEN JOHN G
PRESIDENT & CEO UNTIL 2/25/13, UMASS MEMORIAL HEAL40.00X40532520720966X
OKIKE O NSIDINANYA MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.40.00X522904042755
O'LEARY DANIEL MD
DIRECTOR, COORDINATED PRIMARY CARE, INC.25.00X15691301142
PAPPAS ARTHUR MD
DIRECTOR, UMASS MEMORIAL HOSPITALS, INC.16.00X1387402015
ROSEN MAX P MD
DIRECTOR, CENTRAL MASSACHUSETTS MAGNETIC IMAGING C24.00X15656906706
SCHOONOVER LINDA MD
DIRECTOR, WING MEMORIAL HOSPITAL24.00X146008024850
SEYMOUR-ROUTE PAULETTE PHD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.40.00X4198028614
SOAR BART MD
DIRECTOR, WING MEMORIAL HOSPITAL40.00X163534017386
SWENSON DANA
PRESIDENT/DIRECTOR, UMASS MEMORIAL REALTY, INC.40.00X2954670113855X
SZYMANSKI CANDRA
INTERIM PRESIDENT, DIRECTOR, MARLBOROUGH HOSPITAL40.00X185204015113X
TOSI STEPHEN E MD
DIRECTOR, CLINTON HOSPITAL ASSOCIATION; SR VP, CHI40.00X6584790265896
WESOLOWSKI PAUL
DIRECTOR, COORDINATED PRIMARY CARE, INC.40.00X5678001577
ZIEDONIS DOUGLAS MD
PRESIDENT, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM20.00X224040038658X
ALLEN GAIL
DIRECTOR, HEALTH ALLIANCE HOSPITALS, INC.1.00X000
ANDERSON ELAINE
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
ANTONIONI ROBERT
DIRECTOR UNTIL 9/17/12, UMASS MEMORIAL BEHAVIORAL1.00X000
BABINEAU ROBERT JR MD
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
BENNETT DAVID L
CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BENNETT RICHARD K
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BERGERON ARTHUR
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
BERKEY DENNIS D
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BERRY SARAH G
EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BOUDREAU NORMAN
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
BOVENZI LESLIE
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
BUDD JOHN H
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
CARLSON MARY
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
CATALINA FERNANDO MD
VICE CHAIRPERSON, CENTRAL NEW ENGLAND HEALTHALLIAN1.00X000
CHERUBINI J PAUL
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00X000
CHRISTENSEN RONALD
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
CLEMENTI JOHN
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
COLLINS MICHAEL MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
CONNORS MARTIN JR
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
COOLIDGE KATHERINE
VICE CHAIRPERSON, WING MEMORIAL HOSPITAL1.00X000
CORNELL LOIS D
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
CROCKER FREDERICK G
DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC.1.00X000
D'ALELIO EDWARD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
DAVIS DIX F
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
DENNEHY RAYMOND III
CHAIRPERSON, HEALTH ALLIANCE HOME HEALTH AND HOSPI1.00X000
DIGERONIMO ARTHUR P JR
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
DITULLIO DANIEL
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
DOBECK PAM
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
D'ONFRO PAUL
CHAIRPERSON, CENTRAL NEW ENGLAND HEALTHALLIANCE, I1.00X000
FITCH ROGER
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
FLOTTE TERENCE MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
GIBLIN DAVID R
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
GRAY JENNIFER
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00X000
HAVELES ROBERT
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
HENEBRY CLARK
TREASURER & CLERK, CLINTON FDN; DIRECTOR, CLINTON1.00X000X
HEWITT FRANK
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
HOLLISTER MATT
FIRST VICE PRESIDENT, CLINTON HOSPITAL FOUNDATION,1.00X000
JACOBSON M HOWARD
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
JOHNSON JOANNE
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
KANGAS PAUL
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
KAPLAN DANIEL
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.1.00X000
KATSOUNAKIS THEA
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
KNOX PETER
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
LENHARDT STEPHEN W SR
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
LOWELL STEVEN
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
LYONS CYNTHIA
DIRECTOR UNTIL 11/2012, WING MEMORIAL HOSPITAL1.00X000
LYONS MICHAEL MD
DIRECTOR UNTIL 9/30/13, CENTRAL NEW ENGLAND HEALTH1.00X000
MACNEILL HARRIS L
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MANZI EDWARD
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
MARTIN DONATA
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
MCGRAIL WILLIAM ESQUIRE
CHAIRPERSON, CLINTON HOSPITAL ASSOCIATION1.00X000
MCMAHON RICHARD MD
DIRECTOR UNTIL 12/30/12, MARLBOROUGH HOSPITAL1.00X000
MCMULLEN CYNTHIA M EDD
EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MCNAMARA MARY ELLEN
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MENDOZA STEVEN
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00X000
MERCADANTE ANTHONY J
DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE,1.00X000
MITCHELL LINDA
DIRECTOR UNTIL 6/1/13, WING MEMORIAL HOSPITAL1.00X000
MOLLOY ANN K
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
MORRILLY DARLENE
DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE,1.00X000
MURPHY MICHAEL D
VICE CHAIRPERSON, MARLBOROUGH HOSPITAL1.00X000
NOONAN EDWARD J
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
PAEN GENARO
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
PARRY EDWARD J III
VICE CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
PAULINO JEANNE
PRESIDENT, CLINTON HOSPITAL FOUNDATION, INC.1.00X000X
PEDERSON THORU
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
PEREZ JUDGE LUIS
DIRECTOR UNTIL 1/13/13, CENTRAL NEW ENGLAND HEALTH1.00X000
PHANEUF JAMES
CHAIRPERSON, WING MEMORIAL HOSPITAL1.00X000
PONGOR PAUL J MD
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
PURCELL PHILIP E
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
RICHER GERALD P
DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC.1.00X000
RIVARD MICHAEL
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
SANCHEZ CAROL
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
SCULLY PAUL
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
SHEA JOHN ESQUIRE
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
SHELTON ROBERT LESLIE MD
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
SIEGRIST RICHARD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
SIMMONS IRINA
DIRECTOR UNTIL 2/2013, UMASS MEMORIAL HEALTH CARE,1.00X000
ST AMAND JAMES
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
STARR STANLEY B JR
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
STECYK MARKIAN MD
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
SULLIVAN WILLIAM F SR
DIRECTOR UNTIL 11/4/2012, UMASS MEMORIAL HEALTH VE1.00X000
TAYLOR HARVEY MD
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
TURLEY PATRICK
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
WEISBERG OREN MD
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
WHITNEY MARY
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
WILSON JACK
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
YOUNG LYNDA M
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
ALLICON KEARY T
TREASURER, WING MEMORIAL HOSPITAL40.00165712061925X
BRONHARD JOHN
INTERIM TREASURER, CENTRAL NEW ENGLAND HEALTHALLIA40.0015028506668X
CROTEAU MAUREEN
SECRETARY, CLINTON HOSPITAL ASSOCIATION40.0032783012172X
D'AMBRA ANN-MARIA
SECRETARY, MARLBOROUGH HOSPITAL40.0049373025711X
EKSTROM DEBORAH
PRESIDENT, COMMUNITY HEALTHLINK, INC.40.002528640151882X
FELDMANN ROBERT
TREASURER, UMASS MEMORIAL LABORATORIES, INC.40.003141110194540X
FRAKER MURIEL E ESQUIRE
FORMER SECRETARY UNTIL 3/27/12, UMASS MEMORIAL MED40.001848670110230X
MCCUE STEVEN
TREASURER, MARLBOROUGH HOSPITAL40.00197255041035X
MILLER LAUREN B
SECRETARY, WING MEMORIAL HOSPITAL40.0079277011957X
MORABITO NANCY E
SECRETARY, UNTIL 3/28/13 CLINTON HOSPITAL ASSOCIAT32.004608308689X
MORIN LYNN A
SECRETARY, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC40.008454305897X
O'BRIEN WILLIAM H
SECRETARY, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM40.00121253073887X
OLSON JEFFREY
TREASURER, CLINTON HOSPITAL ASSOCIATION40.00139290021830X
SHAKMAN ALICE
PRESIDENT, CENTRAL MASSACHUSETTS MAGNETIC IMAGING40.00291254031149X
SMITH FRANCIS W
CLERK, UMM HEALTH VENTURES, INC. & UMM MED GROUP,40.00190672076009X
STREETER MICHELE M
TREASURER, UMASS MEMORIAL MEDICAL GROUP, INC.; EXE40.003733300193075X
ANDERSON MILTON C
SR. VP, CHIEF HR OFFICER40.00529912088069X
BLUTE MICHAEL MD
FORMER DIRECTOR UNTIL 3/31/2012, CANCER CENTER OF40.001417190133970X
BOLLAND ESHGHI KATHARINE
VP, DEPUTY GENERAL COUNSEL40.00338695067056X
BRENCKLE GEORGE PHD
SR. VP, CHIEF INFORMATION OFFICER40.003852610164172X
CYR JAMES P
SR VP, HEART AND VASCULAR DISEASES40.00266309041819X
DALEY JENNIFER MD
EXECUTIVE VP, CHIEF OPERATING OFFICER, UNTIL 3/18/40.005936380919806X
DIAMOND VICTORIA
SR. VP, OPERATIONS40.003799900174782X
ETTINGER WALTER H MD
FORMER PRESIDENT - MEDICAL CENTER, UNTIL 1/20/1240.001286250249000X
FISHER BARBARA
SR. VP, OPERATIONS40.003360280140830X
HUDLIN MARGARET MD
CHIEF MEDICAL OFFICER/VP PERIOPERATIVE SVCS40.00333780036178X
HYLKA SHARON
SR. VP, HOSPITAL ADMIN.40.004201760284804X
KLUGMAN ROBERT MD
CHIEF QUALITY OFFICER40.005010840284146X
KRUGER NANCY
SR. VP, CHIEF NURSING OFFICER, UNTIL 6/29/1240.00319806068870X
PHILLIPS ROBERT A MD
MED DIR, HEART & VASCULAR COE, UNTIL 6/7/1340.008441440302160X
RANDOLPH JOHN T
VP, CHIEF COMPLIANCE OFFICER40.002481380171007X
LITWIN DEMETRIUS MD
PHYSICIAN, CHAIR OF SURGERY DEPT - MED GROUP27.00708522039783X
TAM STANLEY MD
PHYSICIAN, CHIEF OF CARDIOTHORACIC SURGERY - MED G30.00707593039112X
AROUS ELIAS J MD
PHYSICIAN, ASSOC. CHIEF MEDICAL OFFICER, CHIEF OF32.00595081037438X
AYERS DAVID C MD
PHYSICIAN, CHAIR OF ORTHOPEDICS AND PHYSICAL REHAB33.00594456039112X
BOZORGZADEH ADEL MD
PHYSICIAN, CHIEF OF ORGAN TRANSPLANTATION - MED GR32.00588599039873X
CHANDLER WILLIS
FORMER DIRECTOR UNTIL 12/31/11, CLINTON HOSPITAL A0.0036251061315X
FieldValueIRS element (for citing)
Total Reportable Comp From Org27493438TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation8478881TotalOtherCompensation
Number Individuals GT100 K2593NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
XEROX BUSINESS SVCS LLC
PO BOX 201322DALLASTX75320I/S MANAGEMENT SERVICES28938466
MCKINSEY & CO INC
PO BOX 7247-7255PHILADELPHIAPA181707255CONSULTING SERVICES12775000
TURNER CONSTRUCTION
2 SEAPORT LANEBOSTONMA02210SEE FOOTNOTE A8586457
DELOITTE CONSULTING
PO BOX 7247-6447PHILADELPHIAPA191706447CONSULTING SERVICES8289502
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102299ATLANTAGA30368DIETARY MANAGEMENT SERVICE5376569
FieldValueIRS element (for citing)
Number Of Contractors GT100 K147NumberOfContractorsGT100K
Fundraising Events368781FundraisingEvents
Related Organizations333135RelatedOrganizations
Government Grants5120392GovernmentGrants
All Other Contributions4008703AllOtherContributions
Noncash Contributions159892NoncashContributions
Total Contributions9831011TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
NET PATIENT SERVICE RE90009918680844171868084417
SPECIAL MEDICAID PAYME900099188000001188000001
AFFILIATE RELATED PROG900099166045532166045532
SYSTEM ALLOCATION REVE900099161874538161874538
OTHER PSR & JV9000996693053665455252$1,475,284

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column24776730TotalRevenueColumn
Related Or Exempt Function Income24776730RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2475711754TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11276731TotalRevenueColumn
Related Or Exempt Function Income36387RelatedOrExemptFunctionIncome
Unrelated Business Revenue-423UnrelatedBusinessRevenue
Exclusion$11,240,767ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column73187TotalRevenueColumn
Exclusion$73,187ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2281717Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real805230Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1476487Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1476487TotalRevenueColumn
Exclusion$1,476,487ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities244743603Securities
Other95893Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities143283198Securities
Other591973Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities101460405Securities
Other-496080Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column100964325TotalRevenueColumn
Related Or Exempt Function Income-2502RelatedOrExemptFunctionIncome
Exclusion$100,966,827ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events1157271GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events368781CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses732513FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column424758TotalRevenueColumn
Exclusion$424,758ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
LAB OUTREACH PROGRAM62150081425078142507
OTHER REVENUE90009941143476991422091297$1,323,908
SUBLEASE INCOME9000991759011$1,759,011
FieldValueIRS element (for citing)
Total Other Revenue14015865TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2613774118TotalRevenueColumn
Related Or Exempt Function Income2476361652RelatedOrExemptFunctionIncome
Unrelated Business Revenue8841226UnrelatedBusinessRevenue
Exclusion$118,740,229ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3400000Total
Program Services3400000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total77289Total
Program Services77289ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total30988988Total
Program Services12296764ProgramServices
Management And General18692224ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total934281081Total
Program Services802845193ProgramServices
Management And General131006618ManagementAndGeneral
Fundraising429270Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total75613565Total
Program Services64708913ProgramServices
Management And General10898618ManagementAndGeneral
Fundraising6034Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total135664704Total
Program Services114124883ProgramServices
Management And General21502442ManagementAndGeneral
Fundraising37379Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total64872251Total
Program Services55368532ProgramServices
Management And General9485948ManagementAndGeneral
Fundraising17771Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total829084Total
Program Services90835ProgramServices
Management And General738249ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2052934Total
Program Services3966ProgramServices
Management And General2048968ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1111279Total
Management And General1111279ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total435175Total
Program Services435175ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total892801Total
Management And General892801ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total59567187Total
Program Services47294151ProgramServices
Management And General12138002ManagementAndGeneral
Fundraising135034Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2889374Total
Program Services640018ProgramServices
Management And General2183384ManagementAndGeneral
Fundraising65972Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24216404Total
Program Services19468092ProgramServices
Management And General4725399ManagementAndGeneral
Fundraising22913Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total17814720Total
Program Services2462304ProgramServices
Management And General15352416ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total79076395Total
Program Services51172287ProgramServices
Management And General27897942ManagementAndGeneral
Fundraising6166Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total2143700Total
Program Services1798511ProgramServices
Management And General341883ManagementAndGeneral
Fundraising3306Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1366531Total
Program Services958798ProgramServices
Management And General404409ManagementAndGeneral
Fundraising3324Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total16635202Total
Program Services15966864ProgramServices
Management And General668338ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total94028704Total
Program Services72683035ProgramServices
Management And General21345669ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total53935822Total
Program Services22855922ProgramServices
Management And General31079900ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES448929335237094229211702763132343
MEDICAL SUPPLIES23337211019261181640760294
MEDICAL EDUCATION SERVI137750000137750000
SYSTEM OVERHEAD ACTIVIT1044635566348138240982174

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total35664080Total
Program Services25813176ProgramServices
Management And General9740405ManagementAndGeneral
Fundraising110499Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2562072271Total
Program Services1945402135ProgramServices
Management And General615700125ManagementAndGeneral
Fundraising970011Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY175920045BOY
EOY88620545EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY95309671BOY
EOY68336977EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2365049BOY
EOY2360031EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY344055341BOY
EOY285713717EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY4239536BOY
EOY4195940EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY30033937BOY
EOY32068443EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY25047714BOY
EOY25006123EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY25116769BOY
EOY20405576EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1658661550LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec963137816LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY696523029BOY
EOY695523734EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY383112009BOY
EOY453010564EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY143268414BOY
EOY129979998EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY13175619BOY
EOY48616496EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY608060BOY
EOY568745EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY61430961BOY
EOY298301685EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2000206154BOY
EOY2152708574EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY314454122BOY
EOY307010702EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5206847BOY
EOY10747258EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY367082810BOY
EOY354202240EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY55106326BOY
EOY71017624EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY29416760BOY
EOY27491001EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY592782326BOY
EOY491997043EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1364049191BOY
EOY1262465868EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY482080876BOY
EOY729998071EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY74240870BOY
EOY80424280EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY79835217BOY
EOY79820355EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY636156963BOY
EOY890242706EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2000206154BOY
EOY2152708574EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses51701847ReconcilationRevenueExpenses
Reconciliation Unrealized Invest22942932ReconciliationUnrealizedInvest
Reconcilation Other Changes179440964ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$194,862GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$240,313RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB435175TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance109418023BeginningOfYearBalance
Investment Earnings Or Losses8142465InvestmentEarningsOrLosses
Other Expenditures-5098294OtherExpenditures
End Of Year Balance112462194EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance98294963BeginningOfYearBalance
Contributions2557800Contributions
Investment Earnings Or Losses12021986InvestmentEarningsOrLosses
Other Expenditures3456726OtherExpenditures
End Of Year Balance109418023EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance104017758BeginningOfYearBalance
Contributions316330Contributions
Investment Earnings Or Losses-2402463InvestmentEarningsOrLosses
Other Expenditures3636662OtherExpenditures
End Of Year Balance98294963EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance98561352BeginningOfYearBalance
Contributions1245442Contributions
Investment Earnings Or Losses5785214InvestmentEarningsOrLosses
Other Expenditures1574250OtherExpenditures
End Of Year Balance104017758EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance97341571BeginningOfYearBalance
Contributions172660Contributions
Investment Earnings Or Losses510787InvestmentEarningsOrLosses
Other Expenditures-536334OtherExpenditures
End Of Year Balance98561352EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.71000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.29000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis16504747OtherCostOrOtherBasis
Book Value16504747BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis855223125OtherCostOrOtherBasis
Depreciation480227439Depreciation
Book Value374995686BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis24960669OtherCostOrOtherBasis
Depreciation14262001Depreciation
Book Value10698668BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis688178305OtherCostOrOtherBasis
Depreciation463599110Depreciation
Book Value224579195BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis73794704OtherCostOrOtherBasis
Depreciation5049266Depreciation
Book Value68745438BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings695523734TotalOfBookValueLandBuildings

Other Securities OtherSecurities (9 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TIFF ABSOLUTE RETURN POOL (6,291 SHARES)26477471F
TIFF PRIVATE EQUITY PARTNERS 2006 (2,812,830 SHARES)2582772F
FRANK RUSSELL GLOBAL PRIVATE EQUITY FUND (497,714 SHARES)382370F
BENEFICIAL INTEREST IN TRUSTS77537199F
AETOS CAPITAL LONG/SHORT STRATEGIES (70,908 SHARES)7441167F
AETOS CAPITAL DISTRESSED INV STRATEGIES (23,360 SHARES)3271891F
AETOS CAPITAL MULTI-STRATEGY ARBITRAGE (39,011 SHARES)4607795F
MPPLTD/PORTFOLIO CLASS A (2,333 SHARES)176323F
TIFF ABSOLUTE RETURN POOL CLASS C (3,876 SHARES)7503010F
FieldValueIRS element (for citing)
Total Of Book Value Securities129979998TotalOfBookValueSecurities

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED PARTIES106050402
CSV LIFE INSURANCE635012
MALPRACTICE TAIL COVERAGE30135892
DUE FROM CLINTON HOSPITAL FOUNDATION1217696
LONG TERM SECURITY DEPOSITS207722
OTHER NON-CURRENT ASSETS54961
RECEIVABLE FROM MEDICAID160000000
FieldValueIRS element (for citing)
Total Book Value Other Assets298301685TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (12 entries)

DescriptionDescriptionAmountAmount
DUE TO UMASS MEDICAL SCHOOL$61,445,602
THIRD PARTY LIABILITIES$58,494,347
DUE TO RELATED PARTIES$104,500,453
ACCRUED PENSION POST RETIREMENT BENEFITS$182,917,886
O/S LOSS RESERVES$32,603,135
ESTIMATED MALPRACTICE COSTS$30,186,145
OTHER$4,369,210
ANNUITY PAYABLE$3,235,444
LT LIABILITY ARO$10,656,876
ACCRUED LT LIABILITIES$3,468,820
CLAIMS RESERVES$89,125
MEDICARE RESERVES$30,000
FieldValueIRS element (for citing)
Total Of Amounts491997043TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:FIN 48 FOOTNOTE: INCOME TAXES: THE SYSTEM FOLLOWS A TWO-STEP APPROACH FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. THE SUBSTANTIAL MAJORITY OF UMASS MEMORIAL AND ITS AFFILIATE ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THESE ENTITIES WILL NOT INCUR ANY LIABILITY FOR FEDERAL INCOME TAXES EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME. CERTAIN AFFILIATES ARE TAXABLE ENTITIES. THE MEASUREMENT OF THE AMOUNTS RECORDED AS A PROVISION FOR INCOME TAXES BASED UPON THE AFOREMENTIONED APPROACH 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.
PART V ENDOWMENT FUNDS QUESTION 3 A (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 WING - YES BANK OF AMERICA HOLDS 3 TRUST FUNDS FOR WING MEMORIAL HOSPITAL: DORNOE PARKER TRUST, RATHBONE 1950 TRUST, RATHBONE 1951 TRUST BANK OF AMERICA HOLDS 3 TRUST FUNDS FOR WING MEMORIAL HOSPITAL THAT THEY HAVE PARTIAL INTEREST IN: OTTOLIE BROWN AND THEODORE NORMAN TRUST FUNDS INTEREST IS PAID TO WING. BANK OF AMERICA IS AN UNRELATED ORGANIZATION. HEALTHALLIANCE HOSPITAL - YES BANK OF AMERICA MERRILL LYNCH HOLDS THE BERNARD W DOYLE TRUST FOR HEALTHALLIANCE HOSPITAL. DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE HOSPITAL. BANK OF AMERICA MERRILL LYNCH IS AN UNRELATED ORGANIZATION. BYN MELLON WEALTH MANAGEMENT HOLDS THE FOLLOWING TRUSTS FOR HEALTHALLIANCE HOSPITAL: TRUST U/WILL ART 11 WILLIAM H CROPPER TRUST U/WILL PAR 15 WILLIAM H CROPPER TRUST U/WILL ART 18 WILLIAM H CROPPER TRUST UNDER 2ND CODICIL OF WILL OF WILLIAM H CROPPER TRUST U/WILL 4TH COD WILLIAM H CROPPER DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE HOSPITAL. BYN MELLON WEALTH MANAGEMENT IS AN UNRELATED ORGANIZATION. PART V ENDOWMENT FUNDS QUESTION 4: PARENT - THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE DIRECTED IN ACCORDANCE WITH THE DONOR'S INTENT INCLUDING THE PRESERVATION OF THE ORIGINAL GIFT AND VARIOUS PURPOSES INCLUDING CHARITY CARE, MEDICAL EDUCATION, RESEARCH, HEALTH CARE SERVICES, BUILDINGS AND EQUIPMENT. HEALTHALLIANCE HOSPITAL - THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE DIRECTED IN ACCORDANCE WITH THE DONOR'S INTENT INCLUDING THE PRESERVATION OF THE ORIGINAL GIFT AND VARIOUS PURPOSES INCLUDING CHARITY CARE, MEDICAL EDUCATION, RESEARCH, HEALTH CARE SERVICES, BUILDINGS AND EQUIPMENT.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising0AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1333 SOUTH STREETAddressLine1
CitySHREWSBURYCity
StateMAState
ZIP Code01545ZIPCode
FieldValueIRS element (for citing)
ActivityFUNDRAISINGActivity
Fundraiser Control Of Funds1FundraiserControlOfFunds
Gross Receipts1129201GrossReceipts
Amount Retained By Contractor52694AmountRetainedByContractor
Net To Organization1076507NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts1129201TotalGrossReceipts
Total Retained By Contractors52694TotalRetainedByContractors
Total Net To Organization1076507TotalNetToOrganization
Licensed StatesMALicensedStates
Licensed StatesNHLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1PARENT-WINTER BALLNameOfEvent1
Gross Receipts Event1678157GrossReceiptsEvent1
Gross Revenue Event1678157GrossRevenueEvent1
Other Direct Expenses Event1369422OtherDirectExpensesEvent1
Name Of Event2CNEHA GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event2293517GrossReceiptsEvent2
Charitable Contributions Event2119673CharitableContributionsEvent2
Gross Revenue Event2173844GrossRevenueEvent2
Non Cash Prizes Event243610NonCashPrizesEvent2
Rent Facility Costs Event2104868RentFacilityCostsEvent2
Other Direct Expenses Event214447OtherDirectExpensesEvent2
Total Number Of Other Events10TotalNumberOfOtherEvents
Gross Receipts Other Events554378GrossReceiptsOtherEvents
Charitable Contrib Other Events249108CharitableContribOtherEvents
Gross Revenue Other Events305270GrossRevenueOtherEvents
Non Cash Prizes Other Events19622NonCashPrizesOtherEvents
Rent Facility Costs Other Events30440RentFacilityCostsOtherEvents
Other Direct Expenses Other Events150104OtherDirectExpensesOtherEvents
Gross Receipts Total1526052GrossReceiptsTotal
Charitable Contributions Total368781CharitableContributionsTotal
Gross Revenue Total Events1157271GrossRevenueTotalEvents
Non Cash Prizes Total Events63232NonCashPrizesTotalEvents
Rent Facility Costs Total Events135308RentFacilityCostsTotalEvents
Other Direct Expenses Total Events533973OtherDirectExpensesTotalEvents
Direct Expense Summary Events732513DirectExpenseSummaryEvents
Net Income Summary424758NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I, LINE 2B; COLUMN (III)PART I, LINE 2B - FUNDRAISER ADDITIONAL INFORMATIONUMASS MEMORIAL FOUNDATION, INC. IS IDENTIFIED AS THE ADMINISTRATOR OF THE PHILANTHROPIC ACTIVITIES OF THE REPORTING ENTITIES OF UMASS MEMORIAL HEALTH CARE, INC. THIS INCLUDES THE COORDINATION OF ALL CHARITABLE WORK AND THE MANAGEMENT OF OFFICE OPERATIONS TO SUPPORT FUNDRAISING INCLUDING THE FOLLOWING PROCEDURES: 1) ACTIVE DEVELOPMENT WORK 2) DONOR RELATIONS AND COMMUNICATIONS 3) SERVICES TO UMASS MEMORIAL STAFF 4) CONTRIBUTION REPORTS, DONOR RECORD FILES 5) TRANSFER OF CONTRIBUTIONS RECEIVED (CONTRIBUTIONS RECEIVED BY THE FOUNDATION THAT ARE DESIGNATED TO A UMASS MEMORIAL REPORTING ENTITY ARE DEPOSITED INTO A DESIGNATED ACCOUNT OF THE RESPECTIVE REPORTING ENTITY UPON RECEIPT.) 6) EXPENDITURES OF CONTRIBUTIONS
PART I, LINE 2B; COLUMN (V)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.
PART IISCHEDULE G - ADDITIONAL INFORMATIONPART II, COLUMN (A) EVENT #1 THE WINTER BALL WAS HELD BY THE PARENT PART II, COLUMN (B) EVENT #2 THE HOSPITAL GOLF TOURNEY WAS HELD BY CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. PART II, COLUMN (C) OTHER EVENTS (10 EVENTS REPORTED) ARE: GOLF TOURNAMENT HELD BY WING MEMORIAL HOSPITAL CORPORATION SPEAKEASY HELD BY HEALTHALLIANCE HOSPITALS DENNEHY GOLF TOURNAMENT HELD BY HEALTH ALLIANCE HOME HEALTH AND HOSPICE, INC. LOVELIGHT HELD BY HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. TEE UP FOR TOTS GOLF TOURNAMENT WAS HELD BY THE PARENT OTHER EVENTS WERE HELD BY THE PARENT, GOLF TOURNAMENT WAS HELD BY MARLBOROUGH HOSPITAL, INC. SPANISH FOR KIDS HELD BY COMMUNITY HEALTHLINK. MARANDA HOUSE MOTHER'S DAY FUNDRAISER WAS HELD BY COMMUNITY HEALTHLINK, AND DOG WALK PAWS FOR CAUSE WAS HELD BY COMMUNITY HEALTHLINK

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense61037114TotalCommunityBenefitExpense
Direct Offsetting Revenue27391424DirectOffsettingRevenue
Net Community Benefit Expense33645690NetCommunityBenefitExpense
Percent Of Total Expense0.01890PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense286384445TotalCommunityBenefitExpense
Direct Offsetting Revenue259916272DirectOffsettingRevenue
Net Community Benefit Expense26468173NetCommunityBenefitExpense
Percent Of Total Expense0.01490PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense47513401TotalCommunityBenefitExpense
Direct Offsetting Revenue42848786DirectOffsettingRevenue
Net Community Benefit Expense4664615NetCommunityBenefitExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense394934960TotalCommunityBenefitExpense
Direct Offsetting Revenue330156482DirectOffsettingRevenue
Net Community Benefit Expense64778478NetCommunityBenefitExpense
Percent Of Total Expense0.03640PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3872046TotalCommunityBenefitExpense
Direct Offsetting Revenue2320968DirectOffsettingRevenue
Net Community Benefit Expense1551078NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense200757227TotalCommunityBenefitExpense
Direct Offsetting Revenue126236106DirectOffsettingRevenue
Net Community Benefit Expense74521121NetCommunityBenefitExpense
Percent Of Total Expense0.04190PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense87451088TotalCommunityBenefitExpense
Direct Offsetting Revenue77417999DirectOffsettingRevenue
Net Community Benefit Expense10033089NetCommunityBenefitExpense
Percent Of Total Expense0.00560PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense4555380TotalCommunityBenefitExpense
Direct Offsetting Revenue2000000DirectOffsettingRevenue
Net Community Benefit Expense2555380NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense296635741TotalCommunityBenefitExpense
Direct Offsetting Revenue207975073DirectOffsettingRevenue
Net Community Benefit Expense88660668NetCommunityBenefitExpense
Percent Of Total Expense0.04980PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense691570701TotalCommunityBenefitExpense
Direct Offsetting Revenue538131555DirectOffsettingRevenue
Net Community Benefit Expense153439146NetCommunityBenefitExpense
Percent Of Total Expense0.08620PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense9215TotalCommunityBuildingExpense
Net Community Building Expense9215NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1931TotalCommunityBuildingExpense
Net Community Building Expense1931NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense30545TotalCommunityBuildingExpense
Net Community Building Expense30545NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense518315TotalCommunityBuildingExpense
Net Community Building Expense518315NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense560006TotalCommunityBuildingExpense
Net Community Building Expense560006NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$4,625,317BadDebtExpenseAmount
Amount Attributable To2264397AmountAttributableTo
Amount Reimbursed By Medicare370183110AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare375079009CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-4895899MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (12 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
PROVIDES INSURANCE1.000000.000000.00000
2 UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP
MANAGES POOLED INVESTMENTS1.000000.000000.00000
3 UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC
MAGNETIC RESONANCE IMAGING CENTER0.600000.000000.00000
4 UMASS MEMORIAL MRI OF MARLBOROUGH LLC
MAGNETIC RESONANCE IMAGING CENTER0.560000.000000.00000
5 MEMORIAL OFFICE CONDOMINIUM TRUST
CONDO ASSOCIATION THAT OWNS MEDICAL OFFICE BUILDING0.536900.000000.00000
6 UMASS MEMORIAL MRI & IMAGING CENTER LLC
MAGNETIC RESONANCE IMAGING CENTER0.500000.000000.00000
7 NEW ENGLAND REHABILITATION SERVICES OF CENTRAL MASSACHUSETTS INC
ACUTE CARE REHABILITATION FACILITY0.500000.000000.00000
8 BIO LABS INC
CLINICAL LABORATORY1.000000.000000.00000
9 HEALTHALLIANCE WITH PHYSICIANS INC
PHYSICIAN ALLIANCE0.500000.000000.00000
10 SHIELDS IMAGING OF MASSACHUSETTS LLC
MANAGEMENT COMPANY FOR PET IMAGING0.250000.000000.00000
11 UMASS MEMORIAL SHIELDS PHARMACY LLC
PHARMACY SERVICES0.500000.000000.00000
12 116 BELMONT STREET INC
CONDO ASSOCIATION0.630400.000000.00000
FieldValueIRS element (for citing)
Number Of Hospital Facilities5NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospital
UMASS MEMORIAL MEDICAL CENTER INC
155 LAKE AVE 119 BELMONT STREETWORCESTERMA01605X
HEALTHALLIANCE HOSPITAL INC
260 HOSPITAL ROADLEOMINSTERMA01453X
MARLBOROUGH HOSPITAL
3157 UNION STREETMARLBOROUGHMA01752X
WING MEMORIAL HOSPITAL CORPORATION
440 WRIGHT STREETPALMERMA01069X
CLINTON HOSPITAL ASSOCIATION
5201 HIGHLAND STREETCLINTONMA01510X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)

Hospital Facility NumberHospitalFacilityNumberCHNA ConductedCHNAConductedCommunity DefinitionCommunityDefinitionCommunity DemographicsCommunityDemographicsExisting ResourcesExistingResourcesHow Data ObtainedHowDataObtainedCommunity Health NeedsCommunityHealthNeedsOther Health IssuesOtherHealthIssuesIdentifying ProcessIdentifyingProcessConsulting ProcessConsultingProcessInformation GapsInformationGapsNeeds Assessment ConductedNeedsAssessmentConductedTake Into AccountTakeIntoAccountOther FacilitiesOtherFacilitiesCHNA Widely AvailableCHNAWidelyAvailableOwn WebsiteOwnWebsiteOn RequestOnRequestOther MethodOtherMethodAdopt Implement StrategyAdoptImplementStrategyExecute Implement StrategyExecuteImplementStrategyDevelop Community PlanDevelopCommunityPlanParticipate Community PlanParticipateCommunityPlanInclude Operational PlansIncludeOperationalPlansAdopt BudgetAdoptBudgetPrioritize Health NeedsPrioritizeHealthNeedsPrioritize ServicesPrioritizeServicesAll Needs AddressedAllNeedsAddressedOrganization Incur Excise TaxOrganizationIncurExciseTaxEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentPermit Other ActionsPermitOtherActionsCollection ActivitiesCollectionActivitiesOther ActionsOtherActionsNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesOther PublicityOtherPublicityOther Actions TakenOtherActionsTaken
UMASS MEMORIAL MEDICAL CENTER INC
11XXXXXXXXX12101XXXXXXXXXXX0011200.0000000000001600.0000000000001XXXX11XXXXXX1X1XXXXX1X01
HEALTHALLIANCE HOSPITAL INC
21XXXXXXXXX11111XXXXXXXXXXX0011200.0000000000001600.0000000000001XXX11XXXX1X1XXXXX1X01XX
MARLBOROUGH HOSPITAL
31XXXXXXXX12111XXXXXXXXXX0011200.0000000000001600.0000000000001XXXX11XXXXX1X1XXXXX1X01
WING MEMORIAL HOSPITAL CORPORATION
41XXXXXXXX12111XXXXXXXXXX0011200.0000000000001600.0000000000001XXXX11XXXXXX1X1XXXXX1X01
CLINTON HOSPITAL ASSOCIATION
51XXXXXXXXX11111XXXXXXXXXX0011200.0000000000001600.0000000000001XXXX11XXXXXX1X1XXXXX1X01

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
UMASS MEMORIAL LABORATORIES
BIOTECH ONE 365 PLANTATION STREETWORCESTERMA01605SATELLITE - LAB SERVICES
UMASS MEMORIAL MEDICAL CENTER(PATHOLOGY)
BIOTECH THREE ONE INNOVATION DRIVEWORCESTERMA01605SATELLITE - PATHOLOGY SERVICES
UMASS MEMORIAL MEDICAL CENTER AMBULANCE
23 WELL STREETWORCESTERMA01604SATELLITE - AMBULATORY SERVICES
UMASS MEMORIAL MEDICAL CENTER AMBULANCE
100 PROVIDENCE STREETWORCESTERMA01604SATELLITE - AMBULATORY SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (49 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART II: UMASS MEMORIAL HEALTH CARE RECOGNIZES COMMUNITY BUILDING ACTIVITIES AS BEING A PART OF THOSE 'SOCIAL DETERMINANTS OF HEALTH' THAT IMPACT THE HEALTH OF THE COMMUNITY. WE INVEST IN EDUCATIONAL COLLABORATIVES, COALITION BUILDING, ADVOCACY EFFORTS, COMMUNITY GARDENS, WORKFORCE DEVELOPMENT AND LEADERSHIP TRAINING 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 STATE OF COMPLETE, PHYSICAL, MENTAL, AND SOCIAL WELL BEING AND NOT MERELY THE ABSENCE OF DISEASE.' BY ADOPTING THIS DEFINITION, UMASS MEMORIAL HEALTH CARE HAS EXPANDED ITS STRATEGY TO INCLUDE THE SOCIAL AND ECONOMIC OBSTACLES THAT PREVENT PEOPLE FROM ACHIEVING OPTIMAL HEALTH. ALL OF OUR COMMUNITY BUILDING ACTIVITIES ARE THE RESULT OF AN IDENTIFIED NEED AND ENGAGE THE COMMUNITY. THEY INCLUDE COLLABORATIVE EFFORTS, ADVOCACY ACTIVITIES AND PARTNERSHIPS THAT ENGAGE A BROAD ARRAY OF COMMUNITY STAKEHOLDERS IN ADDRESSING THESE UNMET SOCIAL DETERMINANTS OF HEALTH (COMMUNITY BUILDING ACTIVITIES).EXAMPLES INCLUDE:- FUNDING AND PROMOTING WORKFORCE OPPORTUNITIES FOR INNER-CITY YOUTH.- FUNDING A TEEN PARENT LITERACY PROGRAM.HEALTHALLIANCE 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 A INTERNSHIP PROGRAM PROVIDING FINANCIAL ASSISTANCE AND EXPERIENCE THROUGH HAND ON PRACTICE AND OBSERVATION. FOR COMMUNITY SUPPORT, COMMUNITY EMERGENCY PREPAREDNESS AND DRILLS ARE CONDUCTED IN COLLABORATION WITH THE LEOMINSTER AND FITCHBURG FIRE DEPARTMENTS AND MEDSTAR EMS. MARLBOROUGH HOSPITAL: MARLBOROUGH HOSPITAL OFFERS OPPORTUNITIES FOR CHALLENGED STUDENTS TO DEVELOP LIFE SKILLS. AS PART OF THE HUMAN SERVICES COALITION, ASSISTANCE IS ALSO PROVIDED TO THOSE UNDERSERVED IN OUR COMMUNITY.WING MEMORIAL HOSPITAL: WING MEMORIAL HOSPITAL PARTICIPATED IN SEVERAL PROGRAMS AND CAREER FAIRS WITH AREA HIGH SCHOOL STUDENTS TO PROVIDE EDUCATION, SHADOWING, TRAINING AND AWARENESS OF THE HEALTHCARE INDUSTRY TO INCREASE STUDENTS' UNDERSTANDING THE BENEFITS OF PURSUING FUTURE EDUCATION IN THE HEALTH CARE FIELD.
PART III, LINE 8: THE MEDICARE COSTS ARE OBTAINED FROM THE COST REPORT FOR INPATIENT, PSYCHIATRIC, CAPITAL, AND OUTPATIENT SERVICES. IN ADDITION, FEE BASED SERVICES SUCH AS LABS, PT, OT, ETC., ARE DETERMINED THROUGH PS&R CHARGES TIMES OUTPATIENT COST TO CHARGE RATIO.
PART III, LINE 9B: EXEMPTION FROM SELF-PAY BILLING AND COLLECTION ACTION - THE ORGANIZATION WILL NOT INITIATE SELF-PAY BILLING AND COLLECTION ACTIVITY:A. UPON SUFFICIENT PROOF THAT A PATIENT IS A RECIPIENT OF EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN (EAEDC), OR ENROLLED IN THE HEALTH SAFETY NET (HSNO) OR MASSHEALTH, HEALTHY START, OR THE CHILDREN'S MEDICAL SECURITY PLAN WHOSE FAMILY INCOME IS EQUAL OR LESS THAN 400% OF THE FPL, WITH THE EXCEPTION OF CO-PAYS AND DEDUCTIBLES REQUIRED UNDER THE PROGRAM OF ASSISTANCE.B. IF THE HOSPITAL HAS PLACED THE ACCOUNT IN LEGAL OR ADMINISTRATIVE HOLD STATUS AND/OR SPECIFIC PAYMENT ARRANGEMENTS HAVE BEEN MADE WITH THE PATIENT OR GUARANTOR.C. FOR MEDICAL HARDSHIP BILLS THAT EXCEED THE MEDICAL HARDSHIP CONTRIBUTION.D. UNLESS UMMMC HAS CHECKED THE EVS SYSTEM TO DETERMINE IF THE PATIENT HAS FILED AN APPLICATION FOR MASSHEALTH.E. FOR PARTIAL HEALTH SAFETY NET ELIGIBLE PATIENTS, WITH THE EXCEPTION OF ANY DEDUCTIBLES REQUIRED.NOTE: THE ORGANIZATION MAY BILL FOR HEALTH SAFETY NET ELIGIBLE AND MEDICAL HARDSHIP PATIENTS FOR NON-MEDICALLY NECESSARY SERVICES PROVIDED AT THE REQUEST OF THE PATIENT AND FOR WHICH THE PATIENT HAS AGREED BY WRITTEN CONSENT.
PART V, SECTION B, LINE 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 NEEDS ASSESSMENT REPORT. THE DIRECTOR OF THE WDPH AND THE UMASS MEMORIAL VICE PRESIDENT OF COMMUNITY RELATIONS CO-CHAIRED THE LEADERSHIP PROCESS TO DEVELOP A COMMUNITY HEALTH NEEDS ASSESSMENT (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. OUR COMMUNITY BENEFITS PLAN ALIGNS WITH THE CHIP.UMASS MEMORIAL MEDICAL CENTER, 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 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.HEALTHALLIANCE HOSPITAL, INC.
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.MARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 3: INTERVIEWS WERE CONDUCTED WITH PUBLIC HEALTH EXPERTS, REPRESENTATIVES OF HEALTH OR OTHER DEPARTMENTS OR AGENCIES, COMMUNITY LEADERS, AND PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. THE INTERVIEWS WERE STRUCTURED TO HELP IDENTIFY THE MOST PRESSING HEALTH STATUS AND ACCESS ISSUES IN THE COMMUNITY.WING MEMORIAL HOSPITAL ALSO SOUGHT INPUT FROM THE PUBLIC REGARDING THE HEATLH OF THE COMMUNITY THROUGH AN ONLINE AND PAPER-BASED SURVEY. A WEBSITE LINK TO THE SURVEY (IN ENGLISH AND SPANISH) WAS MADE AVAILABLE FROM JANUARY THROUGH FEBRUARY 2013. PAPER COPIES OF THE SURVEY WERE DISTRIBUTED AT VARIOUS LOCAL ORGANIZATIONS AND CLINICS IN MULTIPLE LANGUAGES. EFFORTS WERE MADE TO REACH THOSE WITHOUT INTERNET ACCESS AS WELL AS VULNERABLE POPULATIONS SUCH AS RACIAL AND ETHIC MINORITIES, LOW-INCOME GROUPS, INDIVIDUALS WITH LOW LITERACY LEVELS, AND NON-ENGLISH SPEAKERS. THE SURVEY WAS PUBLICIZED VIA FLYERS, SOCIAL MEDIA, NEWSPAPERS, EMAIL LIST-SERVES, AND OTHER METHODS. IN ADDITION, A LISTENING SESSION WAS HELD DURING WHICH COMMUNITY MEMBERS REVIEWED AND DISCUSSED PRELIMINARY FINDINGS FROM THIS ASSESSMENT.WING MEMORIAL HOSPITAL CORPORATION
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.CLINTON HOSPITAL ASSOCIATION
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%20PIAN%20FY13-FY14%20FINAL.PDFHEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 4: THE ASSESSMENT WAS DONE IN CONJUNCTION WITH THE METRO WEST MEDICAL CENTER.MARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 4: WING MEMORIAL HOSPITAL'S CHNA WAS CONDUCTED WITH ON OR MORE OTHER HOSPITAL FACILITIES. WING IS A MEMBER OF THE COALITION OF WESTERN MASSACHUSETTS HOSPITALS WHICH ALSO INCLUDES BAYSTATE MEDICAL CENTER, MERCY MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE MARY LANE HOSPITAL, COOLEY DICKINSON HOSPITAL, AND HOLYOKE MEDICAL CENTER. THE COALITION HOSPITALS COLLABORATED IN PREPARING THEIR CHNAS.WING MEMORIAL HOSPITAL CORPORATION
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.CLINTON HOSPITAL ASSOCIATION
PART V, SECTION B, LINE 5C: 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 MASS MEMORIAL HEALTH CARE AND THE UMASS MEMORIAL VICE PRESIDENT OF COMMUNITY RELATIONS. IN ADDITION, PRESENTATIONS HAVE BEEN MADE TO DIFFERENT GROUPS INCLUDING TWO MAJOR PHILANTHROPIC ORGANIZATIONS, PHYSICIANS AND MEDICAL STUDENTS AT UMASS MEDICAL SCHOOL AND THROUGH ONGONG COMMUNITY ENGAGEMENT ACTIVITIES.UMASS MEMORIAL MEDICAL CENTER, INC.
PART V, SECTION B, LINE 5C: 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.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 5C: 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.PDFMARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 5C: 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.CLINTON HOSPITAL ASSOCIATION
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 IMPUT.UMASS MEMORIAL MEDICAL CENTER, 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 NEED 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 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.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.WING MEMORIAL HOSPITAL CORPORATION
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.CLINTON HOSPITAL ASSOCIATION
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.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 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.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 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.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 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.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 WING'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.WING MEMORIAL HOSPITAL CORPORATION
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.CLINTON HOSPITAL ASSOCIATION
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.UMASS MEMORIAL MEDICAL CENTER, 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.HEALTHALLIANCE HOSPITAL, INC.
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.MARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 17E: WING 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.WING MEMORIAL HOSPITAL CORPORATION
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.CLINTON HOSPITAL ASSOCIATION
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.HEALTHALLIANCE HOSPITAL, INC.
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 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.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.MARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.WING MEMORIAL HOSPITAL CORPORATION
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 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.UMASS MEMORIAL MEDICAL CENTER, 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.HEALTHALLIANCE HOSPITAL, INC.
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.MARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 22: WING 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.WING MEMORIAL HOSPITAL CORPORATION
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.CLINTON HOSPITAL ASSOCIATION
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, FAITH-BASED ORGANIZATIONS, AND THE WORCESTER DIVISION OF PUBLIC HEALTH AS PART OF THE GROUP THAT ASSISTED AND GUIDED THE ASSESSMENT PROCESS.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- REVIEW PRIMARY AND SECONDARY DATA- CONDUCT ONLINE COMMUNITY SURVEY- ORGANIZE COMMUNITY FORUMS TO SHARE FINDINGS AND RELEASE OF FINAL REPORT - ORGANIZE 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 AND QUALITATIVE DATA, THROUGH FOCUS GROUPS WITH COMMUNITY MEMBERS AND INTERVIEWS WITH COMMUNITY MEMBERS AND COMMUNITY LEADERS. PARTICIPANTS WERE FROM COMMUNITY BASED, EDUCATIONAL, CIVIC, GOVERNMENTAL, FAITH BASED PROFESSIONALS, HEALTH CARE PROVIDERS, AND OTHERS. WE MAKE A STRONG EFFORT TO ENSURE RACIAL/ETHIC, SOCIOECONOMIC AND GEOGRAPHIC DIVERSITY IN THE COMPOSITION OF ALL FOCUS GROUPS AND INTERVIEWS.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.WING MEMORIAL HOSPITAL:WING MEMORIAL HOSPITAL AND MEDICAL CENTERS ASSESSES THE HEALTH CARE NEEDS OF OUR COMMUNITIES BY COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHNA CONSIDERS MULTIPLE DATA SOURCES, INCLUDING SECONDARY DATA (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS), ASSESSMENTS PREPARED BY OTHER ORGANIZATIONS IN RECENT YEARS, AND PRIMARY DATA DERIVED FROM A COMMUNITY SURVEY AND FROM INTERVIEWS WITH PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH.DURING THE ASSESSMENT PROCESS, COMMUNITY MEMBERS WERE ENGAGED IN KEY INFORMANT INTERVIEWS AND FOCUS GROUPS, 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. OVER 1,200 COMMUNITY MEMBERS ALSO RESPONDED TO A COMMUNITY-WIDE SURVEY.WING FORMED A COMMUNITY HEALTH ADVISORY COMMITTEE TO GUIDE AND OFFER FEEDBACK ON THE COMMUNITY BENEFITS AND CHNA PROCESSES. THE COMMITTEE REVIEWED THE CHNA IN DRAFT FORM AND PROVIDED FEEDBACK. THE WING MEMORIAL HOSPITAL COMMUNITY BENEFITS PLAN WAS DEVELOPED BY THE COMMUNITY HEALTH ADVISORY COMMITTEE, WHICH IS COMPRISED OF INTERNAL AND COMMUNITY REPRESENTATIVES. THE GROUP REVIEWED THE CURRENT COMMUNITY BENEFITS PROGRAMS, ALONG WITH THE CHNA, TO HELP ENVISION AND DEFINE PRIORITY AREAS FOR THE FUTURE. BASED ON THIS FOUNDATION, PRIORITY AREAS WERE IDENTIFIED AND GOALS WERE DEFINED. THE COMMITTEE CREATED STRATEGIES FOR EACH GOAL AND OUTCOME INDICATORS WERE ESTABLISHED FOR EACH PRIORITY AREA.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 VIS 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 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOCUSES ON THE CITY OF WORCESTER AND THE OUTLYING COMMUNITIES OF SHREWSBURY, MILBURY, 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 IN ITS REGIONALIZATION INITIATIVE, AND OVERLAPS WITH THE SERVICE AREA OF MANY OTHER LOCAL ORGANIZATIONS. FOCUSING UMASS MEMORIAL'S CHNA ON THIS GEOGRAPHIC AREA FACILITATES THE ALIGNMENT OF THE HOSPITAL'S EFFORTS WITH COMMUNITY AND GOVERNMENTAL PARTNERS, SPECIFICALLY THE CITY HEALTH DEPARTMENT, THE AREA FEDERALLY QUALIFIED HEALTH CENTERS, AND SEVERAL COMMUNITY-BASED ORGANIZATIONS. THIS FOCUS ALSO FACILITATES COLLABORATION WITH THE (CHIP) ADVISORY COMMITTEE THAT WILL BE IMPLEMENTING 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, AND THAT DIVERSITY CONTINUES TO EXPAND. 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 FOLLOWED BY REFUGEES FROM BHUTAN, LIBERIA AND OTHER AFRICAN NATIONS. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HSRA) HAS DESIGNATED THE CITY OF WORCESTER A HEALTH PROFESSIONAL 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.) DEMOGRAPHIC AND HEALTH FACTORS - THE DEMOGRAPHICS OF THE REGION VARY WIDELY ACROSS THE REGION. WORCESTER COUNTY HAS A TOTAL POPULATION OF 798,552 AND IS 86% WHITE. THE CITY OF WORCESTER IS A LEADING RESETTLEMENT SITE FOR IMMIGRANTS DUE TO ITS LOWER COST OF LIVING AND AVAILABLE SERVICES AND ACCOUNTS FOR THE GREATEST INCREASE OF DIVERSITY IN THE REGION. ACCORDING TO U.S. CENSUS 2010 FIGURES, THE HISPANIC POPULATION AND OTHER NON-HISPANIC, NON-WHITE ETHNIC GROUPS HAVE NOTABLY INCREASED WHILE THE WHITE, NON-HISPANIC POPULATION HAS DECREASED. THE NUMBER OF HISPANICS LIVING IN THE CITY OF WORCESTER HAS GROWN BY 35% AND BY MORE THAN 46% STATEWIDE OVER THE PAST 10 YEARS. THE CITY'S FOREIGN BORN POPULATION IS SIGNIFICANTLY HIGHER THAN WORCESTER COUNTY AS A WHOLE, ACCOUNTING FOR THE MAJORITY OF THIS POPULATION IN THE REGION. THE CITY'S FOREIGN BORN POPULATION IS ALSO SIGNIFICANTLY HIGHER COMPARED TO THE NATION AND STATE OVERALL. ADDING TO THIS DIVERSITY IS AN INFLUX OF IMMIGRANTS AND NEW ARRIVAL REFUGEES. REFUGEES FROM IRAQ CURRENTLY ACCOUNT FOR THE GREATEST PERCENTAGE OF NEW IMMIGRANTS FOLLOWED BY REFUGEES FROM BHUTAN, BURMA AND LIBERIA. THIS GROWING DIVERSITY HAS BROADENED THE NEED FOR INTERPRETER SERVICES FOR MEDICAL CARE. FOR EXAMPLE, IN ITS FISCAL YEAR 2012, UMASS MEMORIAL HEALTH CARE DELIVERED 144,320 DOCUMENTED INTERPRETATIONS FOR MEDICAL SERVICES IN OVER 133 LANGUAGES. NINETY PERCENT OF ALL INTERPRETATIONS PROVIDED BY UMMHC WERE CONDUCTED IN: SPANISH, PORTUGUESE, VIETNAMESE, ARABIC, ALBANIAN AND AMERICAN SIGN LANGUAGE. THE REMAINING TEN PERCENT WERE 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%.ACCESS TO CARE - APPROXIMATELY 90% OF PEOPLE HAVE HEALTH INSURANCE. DESPITE THIS, THERE REMAINS A CHURNING OF ENROLLMENTS WITH MANY DROPPING OFF. HEALTH INSURANCE ENROLLMENT REMAINS AN ISSUE AS EVIDENCED BY UMMHC'S RATES OF ENROLLMENT ASSISTANCE IN HEALTH SAFETY NETWORK, COMMONWEALTH CARE AND MEDICAID APPLICATIONS.CHRONIC DISEASE OVERVIEW:- OVERWEIGHT & OBESITY: HIGH RATES OF OVERWEIGHT AND OBESITY ARE A LEADING PUBLIC HEALTH CONCERN IN THE REGION AND PARTICULARLY IN THE CITY OF WORCESTER. LOWER-INCOME RESIDENTS ARE SIGNIFICANTLY MORE LIKELY TO SUFFER FROM OBESITY AND OTHER DIET-RELATED HEALTH PROBLEMS. NEARLY 70% OF HISPANIC ADULTS IN THE REGION WERE OVERWEIGHT OR OBESE, BUT WITHIN ETHNIC GROUPS, BLACKS WERE MORE LIKELY TO BE OBESE. CHILDREN LIVING IN THE CITY OF WORCESTER ARE OVERWEIGHT AT HIGHER RATES THAN THE STATE AS A WHOLE. OVERALL, THE AVERAGE FOR OBESE YOUTH ENTERING FIRST GRADE IN THE CITY OF WORCESTER IS 20.25% COMPARED TO THE NATIONWIDE AVERAGE OF 10%. PARTICULARLY ALARMING IS A DRAMATIC INCREASE IN THE PAST DECADE OF OBESITY AMONG 1ST GRADERS IN THE ASIAN COMMUNITY. IN WORCESTER COUNTY, OBESITY IS MORE PREVALENT AMONG MINORITY ETHNIC GROUPS. AMONG ADULTS, NEARLY 70% OF HISPANICS WERE OVERWEIGHT OR OBESE, BUT WITHIN ETHNIC GROUPS, BLACKS WERE MORE LIKELY TO BE OBESE. (SOURCE: MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH/MASSCHIP; DALE MAGEE, COMMISSIONER, WORCESTER DEPARTMENT OF PUBLIC HEALTH, HEALTH OF WORCESTER 2011 REPORT, WORCESTER PUBLIC SCHOOLS.)- DIABETES: THE PREVALENCE OF DIABETES AMONG WORCESTER COUNTY RESIDENTS IS SLIGHTLY LOWER THAN THE STATE AS A WHOLE. DIABETES IS MORE PREVALENT AMONG BLACK AND HISPANIC POPULATIONS AND THOSE 65 YEARS OLD AND OVER. THE PREVALENCE OF HEART DISEASE IN THE REGION IS SIGNIFICANTLY HIGHER AMONG LOWER INCOME RESIDENTS.- ASTHMA: ASTHMA AFFECTS PEOPLE OF ALL AGES, RACES, GENDERS AND SOCIO-ECONOMIC STATUS, HOWEVER, IT OCCURS AT DISPROPORTIONATELY HIGHER RATES AMONG SOME ETHNIC AND RACIAL POPULATIONS. THE PREVALENCE OF ASTHMA IS HIGHER AMONG FEMALES AND HISPANIC ADULTS IN WORCESTER COUNTY COMPARED TO THE STATE AND INCREASING AMONG CHILDREN AGES 0-19 YEARS OLD. (SOURCE: MDPH, MASSCHIP CUSTOMER REPORTS.)- CANCER: CANCER WAS THE SECOND LEADING CAUSE OF DEATH IN WORCESTER COUNTY IN 2008. (SOURCE: MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH/MASSCHIP; DALE MAGEE, COMMISSIONER, WORCESTER DEPARTMENT OF PUBLIC HEALTH, HEALTH OF WORCESTER, 2011 REPORT.) OF THOSE DEATHS, LUNG CANCER ACCOUNTED FOR THE GREATEST PERCENTAGE OF CANCER-RELATED DEATHS WITH HIGH ASSOCIATION WITH SMOKING.- SMOKING: APPROXIMATELY 23% OF ADULTS IN THE CITY OF WORCESTER SMOKE COMPARED TO 17% IN THE STATE AND 15% IN THE NATION.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 (FITCHBURG, LEOMINSTER, GARDNER, ASHBURNHAM, ASHBY, HUBBARDSTON, LUNENBURG, TEMPLETON, TOWNSEND, WESTMINSTER, AND WINCHENDON) ARE ALSO WITHIN THE SERVICE AREA.CONTINUED ON SCHEDULE O
PART VI, LINE 5: UMASS MEMORIAL MEDICAL CENTER HAS A DESIGNATED COMMUNITY BENEFIT DEPARTMENT HOUSED WITHIN THE COMMUNITY RELATIONS DEPARTMENT 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. IN ADDITION, WE LEVERAGE INTERNAL RESOURCES WITHIN THE SYSTEM TO INCREASE PROGRAM CAPACITY WHENEVER POSSIBLE. THIS 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, AND DIABETES.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.WING MEMORIAL HOSPITAL: WING MEMORIAL HOSPITAL HAS A PART TIME DESIGNATED COMMUNITY BENEFIT STAFF PERSON TO PROMOTE THE COMMUNITY BENEFIT AGENDA WITH A SPECIAL FOCUS ON COMMUNITY HEALTH IMPROVEMENT. THIS STAFF MEMBER WORKS CLOSELY WITH MULTIPLE COMMUNITY ORGANIZATIONS FORGING PARTNERSHIPS. IN ADDITION, THE HOSPITAL LEVERAGES INTERNAL RESOURCES TO INCREASE PROGRAM CAPACITY WHENEVER POSSIBLE.CLINTON HOSPITAL ASSOCIATION: CLINTON HOSPITAL'S COMMUNITY BENEFITS PROGRAM STRIVES TO MEET AND EXCEED THE SCHEDULE H/FORM 990 IRS MANDATE TO "PROMOTE HEALTH FOR A CLASS OF PERSONS SUFFICIENTLY LARGE SO THE COMMUNITY AS A WHOLE BENEFITS." OUR PROGRAMS MIRROR THE FIVE CORE PRINCIPLES OUTLINED BY THE PUBLIC HEALTH INSTITUTE IN TERMS OF THE "EMPHASIS ON COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTHRELATED NEEDS; EMPHASIS ON PRIMARY PREVENTION; BUILDING A SEAMLESS CONTINUUM OF CARE; BUILDING COMMUNITY CAPACITY; AND COLLABORATIVE GOVERNANCE." TARGET POPULATIONS FOR CLINTON HOSPITAL'S COMMUNITY BENEFITS INITIATIVES ARE IDENTIFIED THROUGH A COMMUNITY INPUT AND PLANNING PROCESS, COLLABORATIVE EFFORTS, AND A CHA WHICH IS CONDUCTED EVERY THREE YEARS.
PART VI, LINE 6: UMASS MEMORIAL MEDICAL CENTER, HEALTHALLIANCE HOSPITAL, MARLBOROUGH HOSPITAL, WING MEMORIAL HOSPITAL, AND THE CLINTON HOSPITAL ASSOCIATION ARE PART OF THE UMASS MEMORIAL HEALTH CARE SYSTEM (FIVE 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 A COMMUNITY BENEFIT IMPLEMENTATION PLAN.
MAREPORTS FILED WITH STATESPART VI, LINE 7
YES, ALL FIVE HOSPITALS FILE INDIVIDUAL COMMUNITY BENEFIT REPORTS WITH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE.PART VI LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC
19 TACOMA STREETWORCESTERMA0160504251381710000000SUPPORT FOR HEALTH CENTER'S MISSION
FAMILY HEALTH CENTER OF WORCESTER INC
26 QUEEN STREETWORCESTERMA0161004248530810000000SUPPORT FOR HEALTH CENTER'S MISSION
UNIVERSITY OF MA MEDICAL SCHOOL
55 LAKE AVEWORCESTERMA0160504316735210000000ACADEMIC CHAIR FUNDING
UNIVERSITY OF MA MEDICAL SCHOOL
55 LAKE AVEWORCESTERMA016050431673524000000MUSCULOSKELETAL CENTER EXCELLENCE GRANT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
SCHOLARSHIPS24000
INTERNSHIPS3373289

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationPART I LINE 2: MEDICAL CENTER: AT REASONABLE INTERVALS, RE-EVALUATION OF THE GRANTS OCCURS TO ENSURE THAT THE ARRANGEMENTS ARE EXPECTED TO CONTINUE TO SATISFY THE STANDARD SET FORTH. THE HEALTH CENTERS WILL DOCUMENT THE RE-EVALUATION CONTEMPORANEOUSLY. PART I LINE 2: MEDICAL CENTER: AS PART OF THE FUNDING AGREEMENT, BI-ANNUAL UPDATES WILL BE PROVIDED TO THE SENIOR VICE RPESIDENT FOR OPERATIONS OF THE MEDICAL CENTER RESPONSIBLE FOR THE MUSCULOSKELETAL CENTER OF EXCELLENCE. 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 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (67 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANDRIENI JULIA MD
DIRECTOR, UMASS MEMORIAL MEDICAL GRO273199031054000127500123920329395000
BROWN ALAN P MD
DIRECTOR, UMASS MEMORIAL BEHAVIORAL16630802330000097870235920222987000
BROWN DOUGLAS S
SECRETARY, UMASS MEMORIAL HEALTH CAR3960700100266035376019515302334407502090353760
CARLUCCI DANIEL MD
DIRECTOR, MARLBOROUGH HOSPITAL264109032203016615000271230340050000
CAVAGNARO III CHARLES MD
PRESIDENT, WING MEMORIAL HOSPITAL3020280865630001571320608790606602000
COFONE MICHAEL J
INTERIM PRESIDENT, CENTRAL NEW ENGLA2517090383710129907990226280314806000
CORBETT WILLIAM MD
DIRECTOR, MARLBOROUGH HOSPITAL29162107642702492707977502028504930350249270
DALY SHEILA
PRESIDENT, DIRECTOR, CLINTON HOSPITA202742051928031338010837402670904210910313380
DICKSON ERIC W MD
PRESIDENT & CEO, UMASS MEMORIAL HEAL4193730103620022347011102305740007137630208440
FAIRCHILD DAVID MD
DIRECTOR, UMASS MEMORIAL HOSPITALS,375936074109000609220262930537260000
FERGUSON R KEVIN MD
DIRECTOR, UMASS MEMORIAL MEDICAL GRO202116017144000109000238580254018000
FERRUCCI JOSEPH MD
DIRECTOR, CMMIC, INC.356540026690000127500263620422342000
FINBERG ROBERT W MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE2467720523710001298920296330458668000
GOTTLIEB PHILIP D MD
DIRECTOR, CLINTON HOSPITAL ASSOCIATI2316660142139000127500315780418133000
KEATING TODD A
TREASURER & CFO, DIRECTOR, UMASS MEM472105089313045193026960302294608991600451930
KENNEDY KATHRYN MD
DIRECTOR, UMASS MEMORIAL MEDICAL GRO229483057478000127290277000327390000
LAPIDAS GARY N
PRESIDENT, DIRECTOR, UNTIL 1/18/13 U367356068995041861020223701233306927820418610
LAPRIORE CHERYL M
PRESIDENT, DIRECTOR, UMASS MEMORIAL22540405382101921807235302095703917530192180
LASSER DANIEL H MD
DIRECTOR, UMASS MEMORIAL MEDICAL GRO2070490628320001465240260640442469000
MAGUIRE DAVID L MD
DIRECTOR, WING MEMORIAL HOSPITAL215385034056076209673015010261377000
MATTA LALITA MD
DIRECTOR, MARLBOROUGH HOSPITAL124877044500532025840226580155101000
MESSINA LOUIS MD
DIRECTOR, UMASS MEMORIAL MEDICAL GRO3977610234344000127500276880672543000
METZMAKER JEFFREY N MD
DIRECTOR, UMASS MEMORIAL MEDICAL GRO2876400119441000127500246880444519000
MOORE KAREN
PRESIDENT, DIRECTOR, UNTIL 3/25/13 M2811700476920002849710240820637915000
MULDOON PATRICK L
PRESIDENT, UMM MEDICAL CENTER & PRES3897590105271033933019917503934107674790339330
O'BRIEN JOHN G
PRESIDENT & CEO UNTIL 2/25/13, UMASS941448023233602879468070223001873604774218024160000
OKIKE O NSIDINANYA MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE451572071332000127500300050565659000
O'LEARY DANIEL MD
DIRECTOR, COORDINATED PRIMARY CARE,140156016131062600011420158055000
ROSEN MAX P MD
DIRECTOR, CENTRAL MASSACHUSETTS MAGN1465690100000005638010680163275000
SCHOONOVER LINDA MD
DIRECTOR, WING MEMORIAL HOSPITAL980500477000258015270233230170858000
SOAR BART MD
DIRECTOR, WING MEMORIAL HOSPITAL142661020813060064260109600180920000
SWENSON DANA
PRESIDENT/DIRECTOR, UMASS MEMORIAL R233386062081000935700202850409322000
SZYMANSKI CANDRA
INTERIM PRESIDENT, DIRECTOR, MARLBOR1750010528704916012469026440200317000
TOSI STEPHEN E MD
DIRECTOR, CLINTON HOSPITAL ASSOCIATI3871090185251086119023978602611009243750861190
ZIEDONIS DOUGLAS MD
PRESIDENT, UMASS MEMORIAL BEHAVIORAL191470032570000116250270330262698000
ALLICON KEARY T
TREASURER, WING MEMORIAL HOSPITAL142409017647056560412870206380227637000
BRONHARD JOHN
INTERIM TREASURER, CENTRAL NEW ENGLA137271012788022601417052510156953000
EKSTROM DEBORAH
PRESIDENT, COMMUNITY HEALTHLINK, INC191803045686015375012439902748304047460145540
FELDMANN ROBERT
TREASURER, UMASS MEMORIAL LABORATORI2480700660410001729700215700508651000
FRAKER MURIEL E ESQUIRE
FORMER SECRETARY UNTIL 3/27/12, UMAS171057013810000814680287620295097000
MCCUE STEVEN
TREASURER, MARLBOROUGH HOSPITAL18459205355073080213020197330238290000
O'BRIEN WILLIAM H
SECRETARY, UMASS MEMORIAL BEHAVIORAL11409107162000505850233020195140000
OLSON JEFFREY
TREASURER, CLINTON HOSPITAL ASSOCIAT12916907534025870-13080231380161120000
SHAKMAN ALICE
PRESIDENT, CENTRAL MASSACHUSETTS MAG22698204361902065301679001435903224030206530
SMITH FRANCIS W
CLERK, UMM HEALTH VENTURES, INC. & U177149013523000507240252850266681000
STREETER MICHELE M
TREASURER, UMASS MEMORIAL MEDICAL GR290933065156017241017167202140305664050172410
ANDERSON MILTON C
SR. VP, CHIEF HR OFFICER39785701025100295450539320341370617981000
BLUTE MICHAEL MD
FORMER DIRECTOR UNTIL 3/31/2012, CAN141719000001217120122580275689000
BOLLAND ESHGHI KATHARINE
VP, DEPUTY GENERAL COUNSEL263476075219000460990209570405751000
BRENCKLE GEORGE PHD
SR. VP, CHIEF INFORMATION OFFICER299172053799032290013873202544005494330322900
CYR JAMES P
SR VP, HEART AND VASCULAR DISEASES216941049368000208620209570308128000
DALEY JENNIFER MD
EXECUTIVE VP, CHIEF OPERATING OFFICE4711160856180369040887505032301015134440369040
DIAMOND VICTORIA
SR. VP, OPERATIONS258887073741047362014619602858605547720473620
ETTINGER WALTER H MD
FORMER PRESIDENT - MEDICAL CENTER, U534210007520402472540174603776250705540
FISHER BARBARA
SR. VP, OPERATIONS247551062356026121011854502228504768580261210
HUDLIN MARGARET MD
CHIEF MEDICAL OFFICER/VP PERIOPERATI244303089477000129130232650369958000
HYLKA SHARON
SR. VP, HOSPITAL ADMIN.303806080412035958026384702095707049800359580
KLUGMAN ROBERT MD
CHIEF QUALITY OFFICER388171076580036333026063702350907852300363330
KRUGER NANCY
SR. VP, CHIEF NURSING OFFICER, UNTIL22323305108404548905277301609703886760278470
PHILLIPS ROBERT A MD
MED DIR, HEART & VASCULAR COE, UNTIL60136201722410705410292112010048011463040705410
RANDOLPH JOHN T
VP, CHIEF COMPLIANCE OFFICER1953610527770001480900229170419145000
LITWIN DEMETRIUS MD
PHYSICIAN, CHAIR OF SURGERY DEPT - M5696950138827000127500270330748305000
TAM STANLEY MD
PHYSICIAN, CHIEF OF CARDIOTHORACIC S5403800167213000127500263620746705000
AROUS ELIAS J MD
PHYSICIAN, ASSOC. CHIEF MEDICAL OFFI3615840233497000127500246880632519000
AYERS DAVID C MD
PHYSICIAN, CHAIR OF ORTHOPEDICS AND563206031250000127500263620633568000
BOZORGZADEH ADEL MD
PHYSICIAN, CHIEF OF ORGAN TRANSPLANT4369110151688000127500271230628472000
CHANDLER WILLIS
FORMER DIRECTOR UNTIL 12/31/11, CLIN102730002597806040309120975660259780

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ASPLIT DOLLAR GROSS UP CALCULATIONS TO WALTER ETTINGER WHICH ARE TREATED AS TAXABLE COMPENSATION.
PART I, LINE 4BNAME OF PARTICIPANTS IN OR RECEIVING PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN EXECUTIVES BROWN, DOUGLAS S. $35,376 CAVAGNARO, CHARLES III, M.D. $0 COFONE, MICHAEL J. $0 CORBETT, WILLIAM M.D. $24,927 DALY, SHEILA $31,338 DICKSON, ERIC, M.D. $20,844 EKSTROM, DEBORAH $14,554 FAIRCHILD, DAVID, M.D. $0 FELDMANN, ROBERT $0 FINBERG, ROBERT W., M.D. $0 KEATING, TODD A. $45,193 LAPIDAS, GARY N. $41,861 LAPRIORE, CHERYL M. $19,218 MOORE, KAREN $0 MULDOON, PATRICK L. $33,933 O'BRIEN, JOHN G. $0 SHAKMAN, ALICE $20,653 STREETER, MICHELE M. $17,241 SWENSON, DANA $0 TOSI, STEPHEN E., M.D. $86,119 SUBTOTAL EXECUTIVES $391,257 KEY EMPLOYEES ANDERSON, MILTON C. $0 BLUTE, MICHAEL, M.D. $0 BRENCKLE, GEORGE, PH.D. $32,290 BOLLAND ESHGHI, KATHERINE $0 CYR, JAMES P. $0 DALEY, JENNIFER M.D. $36,904 DIAMOND, VICTORIA $47,362 ETTINGER, WALTER H., M.D. $70,554 FISHER, BARBARA $26,121 HUDLIN, MARGARET, M.D. $0 HYLKA, SHARON $35,958 KLUGMAN, ROBERT, M.D. $36,333 KRUGER, NANCY $27,847 PHILLIPS, ROBERT A., M.D. $70,541 RANDOLPH, JOHN $0 SUBTOTAL KEY EMPLOYEES $383,910 FORMER O/D OR KEY EMPLOYEES CHANDLER, WILLIS $25,978 SUBTOTAL FORMER $25,978 TOTAL - ALL $801,145
PART IIIPART II - DISCLOSURES: 1) DURING CY12 THE MAJORITY OF THE AMOUNT REPORTED IN JOHN O'BRIEN'S COLUMN C - COMPENSATION ($2,733,454) 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) JOHN O'BRIEN'S RETIREMENT AND OTHER DEFERRED COMPENSATION AMOUNT INCLUDES A CONTINGENT DEFERRED COMPENSATION ACCRUAL OF $626,633 WHICH REMAINS THE PROPERTY OF UMASS MEMORIAL UNTIL THE TERMS OF THE DEFERRED AGREEMENT IS FULFILLED. 3) 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 2012. THE NAME OF THE UNRELATED ORGANIZATION IS UMASS MEDICAL SCHOOL. PART III - UNRELATED ORGANIZATION COMPENSATION ANDRIENI, JULIA, M.D. $96,164 BROWN, ALAN P., M.D. $63,278 CARLUCCI, DANIEL, M.D. $90,300 FERRUCCI, JOSEPH, M.D. $211,620 FINBERG, ROBERT W., M.D. $297,641 KENNEDY, KATHRYN, M.D. $35,698 LASSER, DANIEL H., M.D. $256,262 MESSINA, LOUIS, M.D. $70,870 METZMAKER, JEFFREY N., M.D. $130,596 ROSEN, MAX P., M.D. $75,888 ZIEDONIS, DOUGLAS, M.D. $212,405 LITWIN, DEMETRIUS, M.D. $277,880 TAM, STANLEY, M.D. $202,106 AROUS, ELIAS J., M.D. $145,918 AYERS, DAVID C., M.D. $166,965 BOZORGZADEH, ADEL, M.D. $131,616 TOTAL COMPENSATION $2,465,207SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MHEFA-UMASS MEMORIAL SERIES D
A04245601157586CLQ62005-08-18107450000SEE PART VI000
MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES E
B04245601157586EH272009-05-2230000000SEE PART VI000
MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES F
C04245601157586EH272009-05-2230000000SEE PART VI000
MHEFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A
D0424560112009-11-249420000SEE PART VI000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetired
A110212484107094155411300138473131183389500000020060011
B3006245333520920545529856998201200111985000
C3006277261364511870029944072201200111985000
D942000021583893458932654220091011757000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A001100.005800.00580001
B0000001
C0000001
D0000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A100000
B110001
C110001
D110001

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Form990 Schedule K Part VI Form990ScheduleKPartVI (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I - BOND ISSUES(A) ISSUER NAMEMHEFA - 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 ISSUEMHEFA - UMASS MEMORIAL, SERIES DPART I COLUMN (C ) CUSIP #: 57586CLQ6 PART I COLUMN (F) DESCRIPTION OF PURPOSE: COMPLETION OF THE EXPANSION OF THE EMERGENCY DEPT AND ROUTINE CAPITAL EQUIPMENT AND/OR RENOVATION PROJECTS
PART I - BOND ISSUEMHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES EPART I COLUMN (C ) CUSIP #: 57586EH27 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUEMHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES FPART I COLUMN (C ) CUSIP #: 57586EH27 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUEMHEFA - MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES APART I COLUMN (F) DESCRIPTION OF PURPOSE: PAY OFF HEFA POOL O LOAN, ER RENOVATIONS, EICU EQUIPMENT, CT SCAN LEASE, MAMMOGRAPHY UNIT
PART I - BOND ISSUEMHEFA - UMASS MEMORIAL, SERIES GPART 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 ISSUEMHEFA - UMASS MEMORIAL, SERIES HPART 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 - PROCEEDSDIFFERENCE BETWEEN PART I, COLUMN(E) AND PART II, LINE 3MHEFA - UMASS MEMORIAL, SERIES D COLUMN (E) ISSUE PRICE OF $107,450,000; ADD ISSUE PREMIUM OF $604,814, ADD INTEREST EARNED ON PROCEEDS OF $3,118,338, LESS ISSUE DISCOUNT OF ($960,668), EQUALS LINE 3 OF $110,212,484. 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 MHEFA - 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 MSTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $280, EQUALS LINE 3 OF $20,000,280.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MHEFA-UMASS MEMORIAL MASTER LEASE
A0424560112005-12-0710000000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL MASTER LEASE
B0424560112006-12-2720000000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL MASTER LEASE
C0424560112008-04-2420000000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL MASTER LEASE
D0424560112009-07-2420000000CAPITAL EQUIPMENT000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpenditures
A10000000100000001000000020060011
B20000000207172381997303520070011510226965717238
C1790440320152952199709282009001111262129072152952
D1346164620024254199715002010001127856928500

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000001
B0000001
C0000001
D0000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A100001
B100001
C100001
D100001

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MHEFA-UMASS MEMORIAL SERIES G
A04245601157586EUS82010-05-2760445000SEE PART VI000
MHEFA-UMASS MEMORIAL MASTER LEASE
B0434318142010-12-0920000000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL SERIES H
C04343181457583UGP72011-08-1090990000SEE PART VI000
MDFA-UMASS MEMORIAL MASTER LEASE
D0434318142011-12-2820000000CAPITAL EQUIPMENT000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpenditures
A1384500061833836246348860734797109903920100011
B8924389200053012096823303120110011530119966969
C5090000922937784458468910585463123531520111011
D56379612001350426062629000201200111350419971000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000001
B0000001
C0000001
D0000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A100001
B100001
C100001
D100001

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MDFA-UMASS MEMORIAL MASTER LEASEBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN043431814IssuerEIN
Date Issued2013-08-14DateIssued
Issue Price20000000IssuePrice
Description Of PurposeCAPITAL EQUIPMENTDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired268438AmountRetired
Total Proceeds20000280TotalProceeds
Capitalized Interest19167CapitalizedInterest
Issuance Costs From Proceeds36810IssuanceCostsFromProceeds
Working Capital Expenditures280WorkingCapitalExpenditures
Capital Expenditures13939920CapitalExpenditures
Amount Unspent6023270AmountUnspent
Year Of Subst Completion2013YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Loan Table LoanTable (4 entries)

Relationship With OrganizationRelationshipWithOrganizationPurpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
FLOYD CONNELLY
FORMER EXECUTIVE DIRECTOR OF CMMIC, INC.CSV OF LIFE INSURANCEX$455,570251480011
THOMAS CUMMINGS
FORMER CEO OF MARLBOROUGH HOSPITALCSV OF LIFE INSURANCEX$377,630200437011
RICHARD H SCHEFFER
FORMER CEO OF WING MEMORIAL CORP.CSV OF LIFE INSURANCEX$26,66029324011
WILLIAM J WILLIAMS
FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC.CSV OF LIFE INSURANCEX$1,981,6273714699011
FieldValueIRS element (for citing)
Total Balance Due4195940TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (19 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ROBERT KLUGMAN MD
KEY EMPLOYEE209777RENTAL OF PROPERTY - EXPENSE0
FERNANDO CATALINA MD
CURRENT DIRECTOR311508RENTAL OF PROPERTY - INCOME0
MICHAEL J LYONS MD
CURRENT DIRECTOR311508RENTAL OF PROPERTY - INCOME0
JOHN CLEMENTI
CURRENT DIRECTOR35324RENTAL OF PROPERTY - EXPENSE0
ANTHONY J MERCADANTE
CURRENT DIRECTOR & FAMILY MEMBER OF NICHOLAS MERCADANTE207108INDEPENDENT CONTACTOR ARRANGEMENT0
EDWARD MANZI
CURRENT DIRECTOR206570RENTAL OF PROPERTY - EXPENSE0
ERIC W DICKSON MD
CURRENT OFFICE & DIRECTOR130000INDEPENDENT CONTRACTOR ARRANGEMENT0
ROBERT HAVELES
CURRENT DIRECTOR29668INDEPENDENT CONTACTOR ARRANGEMENT0
WILLIAM F SULLIVAN SR
CURRENT DIRECTOR254656INDEPENDENT CONTACTOR ARRANGEMENT0
JOHN BUDD
CURRENT DIRECTOR586332INDEPENDENT CONTACTOR ARRANGEMENT0
KATHLEEN HYLKA
FAMILY MEMBER OF SHARON HYLKA, KEY EMPLOYEE98045EMPLOYMENT ARRANGEMENT0
JOANNE D'ONFRO
FAMILY MEMBER OF PAUL D'ONFRO, DIRECTOR51279EMPLOYMENT ARRANGEMENT0
ELLEN CARLUCCI
FAMILY MEMBER OF DANIEL CARLUCCI, MD, DIRECTOR115593EMPLOYMENT ARRANGEMENT0
CHERYL SWENSON RN
FAMILY MEMBER OF DANA SWENSON, DIRECTOR15911EMPLOYMENT ARRANGEMENT0
KATHRYN C MAY
FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER41688EMPLOYMENT ARRANGEMENT0
EILEEN HENRICKSON RN
FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER114468EMPLOYMENT ARRANGEMENT0
KAREN BUCKLEY RN
FAMILY MEMBER OF MARY CARLSON, DIRECTOR62718EMPLOYMENT ARRANGEMENT0
ELAINE GRANVILLE RN
FAMILY MEMBER OF CHERYL LAPRIORE, KEY EMPLOYEE64064EMPLOYMENT ARRANGEMENT0
JOSHUA P SZYMANSKI
FAMILY MEMBER OF CANDRA SZYMANSKI, CURRENT OFFICER & DIRECTOR27048EMPLOYMENT ARRANGEMENT0

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART II - LOANS FROM INTERESTED PERSONSTHE CASH VALUE OF LIFE INSURANCE POLICIES:NAME OF INTERESTED PERSON, TITLE, ORIGINAL PRINCIPAL AMOUNT, BALANCE DUETHOMAS CUMMINGS, FORMER CEO OF MARLBOROUGH HOSPITAL, $377,630, $200,437RICHARD H. SCHEFFER, FORMER CEO OF WING MEMORIAL CORP., $26,660, $29,324WILLIAM J. WILLIAMS, FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC., $1,981,627, $3,714,699FLOYD CONNELLY, FORMER DIRECTOR OF CMMIC, INC., $455,570, $251,480TOTAL ORIGINAL PRINCIPAL AMOUNT $2,841,487TOTAL BALANCE DUE $4,195,940AMOUNTS DUE FROM CURRENT AND 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.
PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSSEVERAL OF OUR COMMUNITY HOSPITALS MAINTAIN LOCAL BANKING RELATIONSHIPS IN THEIR RESPECTIVE COMMUNITIES, WHICH HAVE BEEN ASSESSED AND MEET FAIR MARKET VALUE REQUIREMENTS. THE VALUE OF THESE RESPECTIVE RELATIONSHIPS ARE WELL BELOW THE DISCLOSURE THRESHOLDS.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3831NumberOfContributions
Noncash Contribs Rptd F990159892NoncashContribsRptdF990
Method Of Determining RevenuesFMV/SELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierTHIRD PARTY USE:Identifier
Return ReferencePART I, LINE 32B:ReturnReference
ExplanationUMASS MEMORIAL HEALTH CARE, INC. UTILIZES THE SERVICES OF UMASS MEMORIAL FOUNDATION, INC. TO SOLICIT DONOR CONTRIBUTIONS, ON OCCASION, THE ORGANIZATION RECEIVES GIFTS OF PUBLICLY TRADED STOCK. ALL GIFTS OF PUBLICLY TRADED STOCK ARE IMMEDIATELY SOLD UPON RECEIPT THROUGH AN INVESTMENT SERVICES FIRM.Explanation

Schedule N IRS990ScheduleN

Liquidation Table LiquidationTable

Liquidation Detail LiquidationDetail (5 entries)

Description Of AssetDescriptionOfAssetDate Of DistributionDateOfDistributionFMV Of AssetFMVOfAssetMethod Of FMV DeterminationMethodOfFMVDeterminationEINEINAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSection
UMASS MEMORIAL MEDICAL CENTER INC
CASH2012-10-011107898BOOK VALUE043358564306 BELMONT STREETWORCESTERMA01604501(C)(3)
UMASS MEMORIAL MEDICAL CENTER INC
NOTES RECEIVABLE2012-10-011139661BOOK VALUE043358564306 BELMONT STREETWORCESTERMA01604501(C)(3)
UMASS MEMORIAL MEDICAL CENTER INC
FIXED ASSETS2012-10-012848278BOOK VALUE043358564306 BELMONT STREETWORCESTERMA01604501(C)(3)
UMASS MEMORIAL MEDICAL CENTER INC
INVESTMENTS2012-10-016339355BOOK VALUE043358564306 BELMONT STREETWORCESTERMA01604501(C)(3)
UMASS MEMORIAL MEDICAL CENTER INC
OTHER ASSETS2012-10-011314290BOOK VALUE043358564306 BELMONT STREETWORCESTERMA01604501(C)(3)
FieldValueIRS element (for citing)
Director Of Successor1DirectorOfSuccessor
Employee Of Successor0EmployeeOfSuccessor
Owner Of Successor0OwnerOfSuccessor
Receive Compensation0ReceiveCompensation
Assets Distributed1AssetsDistributed
Required To Notify AG1RequiredToNotifyAG
AG Notified1AGNotified
Liabilities Paid1LiabilitiesPaid
Bonds Outstanding0BondsOutstanding

Form990 Schedule N Part III Form990ScheduleNPartIII

FieldValueIRS element (for citing)
ExplanationSEVERAL 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 #3642THIS INCLUDES:JOHN G. O'BRIENEDWARD J. PARRY, IIIPAUL KANGASJOHN H. BUDDUMASS MEMORIAL LABORATORIES, INC. WAS MERGED INTO ANOTHER ORGANIZATION WITHIN THE UMASS MEMORIAL SYSTEM.SEE ATTACHED MERGER DOCUMENTSExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2DISCLOSURE YEAR, DISCLOSING INDIVIDUAL, TITLE/ROLE, RELATIONSHIP WITH, RELATIONSHIP UMMHC 2012 - BUDD, JOHN, BOARD MEMBER, PAUL D'ONFRO (BUSINESS), ARTHUR BERGERON (BUSINESS) 2012 - PHILLIPS, ROBERT, KEY EMPLOYEE, JULIA ANDRIENI (FAMILY) VENTURES 2012, NONE MEDICAL GROUP 2012, NONE MEMBER ENTITIES HEALTH ALLIANCE 2012 - CLEMENTE, JOHN, BOARD MEMBER, 80 ERDMAN WAY LLC (BUSINESS) 2012 - CATALINO, FERNANDO, BOARD MEMBER, GAIL ALLEN (BOARD MEMBER), NORMAN BOUDREAU (BOARD MEMBER), DONATA MARTIN (BOARD MEMBER), BOYS & GIRLS CLUB (BOARD MEMBER) 2012 - MERCANDANTE, ANTHONY, BOARD MEMBER, NICHOLAS MERCANDANTE (FAMILY) 2012 - MERCANDANTE, NICHOLAS, BOARD MEMBER, ANTHONY MERCANDANTE (FAMILY) CHL 2012 - EKSTROM, DEBORAH, BOARD MEMBER, FIDELITY MUTUAL HOLDING COMPANY (BOARD MEMBER) & FIDELITY COOPERATIVE BANK (BUSINESS) MARLBOROUGH 2012 - CARLUCCI, DANIEL, BOARD MEMBER, ELLEN CARLUCCI (FAMILY( 2012 - BERGERON, ARTHUR, BOARD MEMBER, MARLBOROUGH CANCER CENTER (BUSINESS) WING 2012 - COOLIDGE, KATHERINE, BOARD MEMBER, EDWARD NOONAN (BUSINESS), JAMES PHANEUF (BUSINESS), PAUL SCULLY (BUSINESS) 2012 - PHANEUF, JAMES, BOARD MEMBER, CHARLES CAVAGNARO (BUSINESS), EDWARD NOONAN (BUSINESS), ROBERT S. HAVELES (BUSINESS), JAMES ST. AMAND (BUSINESS), PAUL SCULLY (BUSINESS), KATHERINE COOLIDGE (BUSINESS) 2012 - MITCHELL, LINDA, BOARD MEMBER, STEVEN LOWELL (BUSINESS), RON CHRISTIANSEN (BUSINESS), PAUL SCULLY (BUSINESS), PATRICK TURLEY (BUSINESS), ROBERT S. HAVELES (BUSINESS) 2012 - NOONAN, EDWARD, BOARD MEMBER, CHARLES CAVAGNARO (BUSINESS), JAMES ST. AMAND (BUSINESS), JAMES PHANEUF (BUSINESS), KATHERINE COOLIDGE (BUSINESS), ROBERT S. HAVELES (BUSINESS), PATRICK TURLEY (BUSINESS), LAUREN MILLER (BUSINESS), ELAINE ANDERSON (BUSINESS) 2012 - TURLEY, PATRICK, BOARD MEMBER, EDWARD NOONAN (BUSINESS), RON CHRISTIANSEN (BUSINESS), PAUL SCULLY (BUSINESS) 2012 - HAVELES, ROBERT, BOARD MEMBER, EDWARD NOONAN (BUSINESS), JAMES PHANEUF (BUSINESS), PAUL SCULLY (BUSINESS) , JAMES ST. ARMAND (BUSINESS) 2012 - CHRISTIANSEN, RONALD, BOARD MEMBER, LINDA MITCHELL (BUSINESS), PATRICK TURLEY (BUSINESS) 2012 - SCULLY, PAUL, BOARD MEMBER, RON CHRISTIANSEN (BUSINESS), PATRICK TURLEY (BUSINESS), ROBERT HAVELES (BUSINESS), JAMES PHANEUF (BUSINESS), CHARLES CAVAGNARO (BUSINESS), KATHERINE COOLIDGE (BUSINESS), LINDA MITCHELL (BUSINESS), ELAINE ANDERSON (BUSINESS) 2012 - ANDERSON, ELAINE, BOARD MEMBER, EDWARD NOONAN (BUSINESS) CLINTON 2012 - NONE
FORM 990, PART VI, SECTION A, LINE 6THERE ARE NO CLASSES OF DIRECTORS. THE VOTING RIGHTS OF EACH MEMBER'S BOARD IS ABSOLUTE.
FORM 990, PART VI, SECTION A, LINE 7ATHE MAJORITY OF ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (WHICH IS ALSO WITHIN THE CONSOLIDATED GROUP) THAT ELECTS THE BOARD OF TRUSTEES. THERE ARE NO CLASSES OF TRUSTEES. THE MAJORITY OF THE ENTITIES RESERVE TO THE MEMBER THE POWER TO REMOVE TRUSTEES, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BTHE MAJORITY OF THE ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (WHICH IS ALSO WITHIN THE CONSOLIDATED GROUP) WITH THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ENTITY, WHICH IS EXERCISED BY THAT MEMBER'S BOARD OF TRUSTEES. THERE ARE NO CLASSES OF TRUSTEES OR MEMBERS. THUS, THE VOTING RIGHTS OF A MEMBER BOARD ARE ABSOLUTE. GENERALLY, THE SOLE MEMBER OF EACH ENTITY RESERVES THE POWER TO APPROVE MAJOR TRANSACTIONS; TO MERGE, CONSOLIDATE OR LIQUIDATE THE CORPORATION'S ASSETS; TO ADOPT ANNUAL OPERATING AND CAPITAL BUDGETS AND AMENDMENTS; TO ENTER INTO LOAN AGREEMENTS AND/OR GUARANTEES; TO APPOINT AND/OR ELECT THE PRESIDENT AND/OR CEO; TO ELECT AND/OR APPOINT AND REMOVE TRUSTEES, FILL VACANCIES, TO INCREASE OR DECREASE THE SIZE OF THE BOARD; AND TO APPROVE UNBUDGETED EXPENDITURES.
FORM 990, PART VI, SECTION B, LINE 11SECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD. THE COMPLIANCE COMMITTEE OF THE BOARD REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990, INCLUDING THE ABOVE SCHEDULES AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL. THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CPAGE 6 SECTION B. POLICIES LINE 12C: THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS AND MANAGEMENT TO COMPLETE ANNUAL DISCLOSURE STATEMENTS AND, TO UPDATE THESE DISCLOSURE STATEMENTS FOR SIGNIFICANT CHANGES IN THEIR OUTSIDE GOVERNANCE AND PROFESSIONAL ACTIVITIES OR, FINANCIAL RELATIONSHIPS AS APPROPRIATE. ADDITIONALLY, ALL TRANSACTIONS INVOLVING BOARD MEMBERS OR MANAGEMENT AND THE ORGANIZATION ARE REQUIRED TO BE APPROVED BY THE COMPLIANCE COMMITTEE OF THE BOARD AND, THERE IS ACTIVE MONITORING AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH DECISIONS.
FORM 990, PART VI, SECTION B, LINE 15PAGE 6 SECTION B. POLICIES LINE 15B: AT UMASS MEMORIAL, ALL COMPENSATION MATTERS FOR THE CEO AND SENIOR EXECUTIVES THROUGHOUT THE SYSTEM (INCLUDING ALL "DISQUALIFIED PERSONS") ARE GOVERNED AND OVERSEEN BY THE BOARD OF TRUSTEES OF THE PARENT. THE BOARD APPROVED A COMPENSATION PHILOSOPHY THAT GOVERNS ALL SUCH DECISIONS. THE PHILOSOPHY INCLUDES THE OBJECTIVES OF THE PROGRAM, COMPONENTS OF EXECUTIVE COMPENSATION, THE RELEVANT MARKET, POSITIONING IN THE MARKET, FACTORS CONSIDERED IN SETTING EXECUTIVE COMPENSATION AND THE IMPORTANCE OF TYING SUCH COMPENSATION TO PERFORMANCE. THE BOARD ESTABLISHED A COMPENSATION COMMITTEE, MADE UP OF DISINTERESTED TRUSTEES, WHO ARE GIVEN THE AUTHORITY TO ESTABLISH COMPENSATION FOR ALL SENIOR EXECUTIVES, WITHIN THE PARAMETERS OF THE PHILOSOPHY, AND WITH FULL AND COPMLETE REPORTING TO THE FULL BOARD. THE COMPENSATION COMMITTEE PERFORMS ITS WORK PURSUANT TO ITS CHARTER AND A COMPENSATION POLICY THAT ESTABLISHES THE PROCESS THE COMMITTEE WILL FOLLOW IN REVIEWING AND APPROVING EXECUTIVE COMPENSATION EACH YEAR. THE COMMITTEE ENSURES THAT ITS PROCESS MEETS THE REBUTABLE PRESUMPTION OF REASONABLENESS ESTABLISHED BY THE IRS. IN ORDER TO ASSIST THE COMMITTEE IN ITS RESPONSIBILITIES, THE COMPENSATION COMMITTEE HIRES INDEPENDENT, OUTSIDE COMPENSATION CONSULTANTS TO ADVISE THE COMMITTEE AND THE BOARD ON THE REASONABLENESS OF OVERALL EXECUTIVE COMPENSATION PROGRAM, INCLUDING COMPENSATION OF THE SPECIFIC EXECUTIVES. THESE CONSULTANTS REPORT DIRECTLY TO THE COMMITTEE AND NOT TO MANAGEMENT. THE COMMITTEE WORKS WITH THESE CONSULTANTS, AND WITH LEGAL COUNSEL, TO ENSURE THAT ALL COMPENSATION PAID, AS WELL AS THE PROCESS FOLLOWED TO DETERMINE SUCH COMPENSATION, IS REASONABLE, MEETS ALL REGULATORY REQUIREMENTS AND IS COMPETITIVE WITH THE RELEVANT MARKET.
FORM 990, PART VI, SECTION C, LINE 19PAGE 6: LINE 19 UMASS MEMORIAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AS REQUIRED BY APPLICABLE STATE AND FEDERAL LAWS, AND BY REQUEST ON A CASE-BY-CASE BASIS.
PAGE 8 PART VII SECTION B. INDEPENDENT CONTRACTORS - DESCRIPTION OF SERVICEDESCRIPTION OF SERVICES FOOTNOTE A - SPECIALTY TRADE CONTRACTORS: SUBCONTRACTS TO A VARIETY OF EXHIBIT AND MARKETING SERVICES INCLUDING BUT NOT LIMITED TO: GENERAL CONSULTATION, COST OF MATERIALS AND SUPPLIES, DESIGN, CONSTRUCTION, LABORERS. THIS VENDOR MAY ALSO SUPPLY THEIR OWN LABORERS AS OPPOSED TO SUBCONTRACT.
FORM 990, PART XI, LINE 9:NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 4,120,073. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST 177,914,762. CHANGE IN BENEFICIAL INTERESTS IN PERPETUAL TRUSTS 2,102,136. MISCELLANEOUS -19,152. NET ASSETS RELEASED FROM RESTRICTION FOR PPE 740,737. TEMPORARY RESTRICTED FUND EXPENDITURES -4,837,792. GAIN/(LOSS) ON DISCONTINUED OPERATIONS -1,534,089. ALLOWANCE FOR UNCOLLECTIBLE PLEDGES 2,474. K-1 ACTIVITY FROM PARTNERSHIPS 850,880. TRANSFERS TO RELATED PARTIES 100,935.CHANGES IN NET ASSETS OR FUND BALANCES:
PAGE 1, LINE H(B) LIST OF AFFILIATED ORGANIZATIONSTHE CLINTON HOSPITAL ASSOCIATION; 201 HIGHLAND STREET, CLINTON, MA 01510 EIN: 04-1185520 FISCAL YEAR END: 9/30/2012 MARLBOROUGH HOSPITAL; 157 UNION STREET, MARLBOROUGH, MA 01752 EIN: 04-2104693 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3374724 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL HOSPITALS, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3296271 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL HEALTH VENTURES, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 22-2605679 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL LABORATORIES, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3321703 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL MEDICAL CENTER, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3358564 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL MEDICAL GROUP, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-2911067 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL REALTY, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-2805630 FISCAL YEAR END: 9/30/2012 WING MEMORIAL HOSPITAL CORP.; 40 WRIGHT STREET, PALMER, MA 01069 EIN: 22-2519813 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL HEALTH CARE, INC. (PARENT); 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3358566 FISCAL YEAR END: 9/30/2012 COMMUNITY HEALTHLINK, INC.; 72 JAQUES AVENUE, WORCESTER, MA 01610 EIN: 04-2626179 FISCAL YEAR END: 9/30/2012 CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC.; 367 PLANTATION STREET, WORCESTER, MA 01605 EIN: 04-2981362 FISCAL YEAR END: 9/30/2012 CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-3172496 FISCAL YEAR END: 9/30/2012 COORDINATED PRIMARY CARE, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-3210002 FISCAL YEAR END: 9/30/2012 HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.; 25 TUCKER ROAD, LEOMINSTER, MA 01453 EIN: 04-2932308 FISCAL YEAR END: 9/30/2012 HEALTHALLIANCE HOSPITALS, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-2103555 FISCAL YEAR END: 9/30/2012 CAITLIN RAYMOND INTERNATIONAL REGISTRY, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 06-1749208 FISCAL YEAR END: 9/30/2012 CLINTON HOSPITAL FOUNDATION, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3357881 FISCAL YEAR END: 9/30/2012GROUP RETURN
SCHEDULE H, PART VI - SUPPLEMENTAL INFORMATION - CONTINUEDMARLBOROUGH HOSPITAL: BETWEEN 2000 AND 2011, MARLBOROUGH EXPERIENCED THE GREATEST POPULATION INCREASED FROM 36,255 TO 38,087 (5.1%), NEARLY TWICE AS LARGE OF A PERCENT CHANGE AT THE STATE LEVEL (2.6%). HUDSON'S POPULATION ALSO EXCEEDED THE STATE'S POPULATION AT 4.0%. IN TERMS OF AGE DISTRIBUTION, MOST OF MARLBOROUGH'S POPULATION WAS BETWEEN THE AGES OF 25 TO 44 YEARS OLD (32.4%) WHILE HUDSON'S POPULATION HAD THE GREATEST PERCENT BETWEEN 45 TO 64 YEARS OLD (29.7%). QUANTITATIVE DATA ALSO ILLUSTRATE THAT JUST OVER THREE-FOURTHS OF THE MASSACHUSETTS POPULATION IS WHITE (76.9%) WHICH WAS LARGELY CONSISTENT WITH MARLBOROUGH (79.2%). BOTH AT THE STATE LEVEL AND IN MARLBOROUGH, THE HISPANIC POPULATION WAS THE NEXT LARGEST RACIAL/ETHNIC GROUP (9.3% AND 9.2%, RESPECTIVELY). HUDSON'S POPULATION FOLLOWED A SIMILAR PATTERN, THE PROPORTION OF ITS POPULATION THAT IDENTIFIED AS WHITE WAS EVEN LARGER (90.5%). ENGLISH, PORTUGUESE AND SPANISH ARE THE PREDOMINANT LANGUAGE FOR THE COMMUNITIES THE HOSPITAL SERVES. WING MEMORIAL HOSPITAL: THE COMMUNITY WING MEMORIAL HOSPITAL AND MEDICAL CENTERS SERVES INCLUDES 17 TOWNS IN HAMPDEN, WORCESTER AND HAMPSHIRE COUNTIES: AGAWAM, BELCHERTOWN, BRIMFIELD, CHICOPEE, EAST LONGMEADOW, HAMPDEN, HOLLAND, LONGMEADOW, LUDLOW, MONSON, PALMER, SPRINGFIELD, WALES, WARE, WARREN, WEST BROOKFIELD AND WILBRAHAM. THE TOWNS THAT MAKE UP THE PRIMARY SERVICE AREA INCLUDE: BELCHERTOWN, LUDLOW, MONSON, PALMER, WARREN AND WILBRAHAM. THE TOWNS THAT MAKE UP THE SECONDARY SERVICE AREA INCLUDE: BRIMFIELD, GRANBY, HAMPDEN, WALES AND WARE. TARGET POPULATIONS FOR WING MEMORIAL'S COMMUNITY BENEFITS INITIATIVES FOCUS ON MEDICALLY-UNDERSERVED AND VULNERABLE GROUPS OF ALL AGES IN WING MEMORIAL'S SERVICE AREA. THE MOST VULNERABLE POPULATIONS INCLUDE CHILDREN, ELDERS, INDIVIDUALS WHO ARE OBESE/OVERWEIGHT, THOSE LIVING IN POVERTY, AND THE UNDERINSURED/UNINSURED. CLINTON HOSPITAL ASSOCIATION: TARGET POPULATIONS FOR CLINTON HOSPITAL'S COMMUNITY BENEFITS INITIATIVES ARE IDENTIFIED THROUGH A COMMUNITY INPUT AND PLANNING PROCESS, COLLABORATIVE EFFORTS WITH A BROAD ARRAY OF STAKEHOLDERS, AND THE DEVELOPMENT OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHA) WHICH IS CONDUCTED EVERY THREE YEARS. CLINTON HOSPITAL COLLABORATES WITH THE COMMUNITY HEALTH NETWORK AREA 9 (CHNA 9); A LOCAL COALITION OF PUBLIC, NON-PROFIT, AND PRIVATE SECTORS WORKING TOGETHER TO BUILD HEALTHIER COMMUNITIES IN MASSACHUSETTS THROUGH COMMUNITY-BASED PREVENTION PLANNING AND HEALTH PROMOTION. OTHER PARTNERS INCLUDE KEY STAKEHOLDERS SUCH AS: RESIDENTS, CONSUMERS, COALITIONS, COMMUNITIES OF FAITH, BUSINESSES, SCHOOLS, HEALTH AND HUMAN SERVICE ORGANIZATIONS AND LOCAL AND STATE GOVERNMENTS. OUR TARGET POPULATIONS FOCUS ON MEDICALLY-UNDERSERVED AND VULNERABLE GROUPS OF ALL AGES, AS FOLLOWS: - ELDERLY - YOUTH/CHILDREN - POPULATIONS LIVING IN POVERTY - UNDERSERVED/UNINSURED - ETHNIC AND LINGUISTIC MINORITIES CLINTON HOSPITAL PRIMARILY SERVES THE COMMUNITIES OF CLINTON, BERLIN, BOLTON, LANCASTER AND STERLING WITH POPULATIONS OF 13,606, 2,866, 4,897, 7,582 AND 9,564 RESPECTIVELY. THE POPULATION OF THE TOTAL SERVICE AREA IS 36,759. CLINTON HAS A POPULATION OF 13,606. THE MAJORITY OF CLINTON RESIDENTS ARE WHITE NON-HISPANIC (84%), FOLLOWED BY HISPANIC (11.6%) AND BLACK NON-HISPANIC (1.80%). THE CLINTON HOSPITAL SERVICE AREA IS ALSO PRIMARILY WHITE NON-HISPANIC (88%), FOLLOWED BY HISPANIC (6.4%), AND BLACK NON-HISPANIC (2.8%). CLINTON HOSPITAL'S COMMUNITY BENEFITS PLAN FOCUSES ON THE NEEDS OF CLINTON DUE TO ITS LARGE CONCENTRATION OF DIVERSE, VULNERABLE POPULATIONS.COMMUNITY INFORMATION - CONTINUED FROM SCHEDULE H

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
UMASS MEMORIAL FOUNDATION INC
333 SOUTH STREETSHREWSBURYMA01545043108190FUNDRAISING SUPPORTMA501(C)(3)11CN/A0
HEALTH ALLIANCE REALTY CORPORATION
60 HOSPITAL ROADLEOMINSTERMA01473042560754REAL ESTATE MANAGEMENTMA501(C)(3)N/AN/A0

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP
ONE BIOTECH PARK 355 PLANTATION STWORCESTERMA01605043530755INVESTMENT MANAGEMENTMAN/AEXCLUDED 514427005674242440290-$42311.00000
UMASS MEMORIAL MRI OF MARLBOROUGH LLC
157 UNION STREETMARLBOROUGHMA01752202293995MAGNETIC RESONANCE IMAGINGMARELATED554282337933000.56000MARLBOROUGH HOSPITAL
UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC
60 HOSPITAL ROADLEOMINSTERMA01453043561571MAGNETIC RESONANCE IMAGINGMAN/ARELATED9890291245441000.60000

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD
PO BOX 1051 GTGRAND CAYMANCJ980226143INSURANCECJN/AC60152431741151691.000000
MEMORIAL OFFICE CONDOMINIUM TRUST
046616900CONDOMINIUM ASSOCIATIONT4842550.536900306 BELMONT STREETWORCESTERMA01604MAUMASS MEMORIAL MEDICAL CENTER INC
BIO-LAB INC
042708828CLINICAL LABORATORYS69914210594051.000000215 WEST STREETMILFORDMA01757MAUMASS MEMORIAL HEALTH VENTURES INC
116 BELMONT ST INC CO APPLETON CORP
042717865CONDOMINIUM ASSOCIATIONC465970100.63040057 SUFFOLK STREETHOLYOKEMA01040MAUMASS MEMORIAL REALTY INC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
L24387201FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
B2091975FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
Q83803FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
L2895540FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
N814423FAIR VALUE
WING MEMORIAL HOSPITAL CORPORATION
Q300000FAIR VALUE
UMASS MEMORIAL REALTY INC
J4411002FAIR VALUE
UMASS MEMORIAL HEALTH VENTURES INC
P367632FAIR VALUE
UMASS MEMORIAL REALTY INC
P369228FAIR VALUE
MARLBOROUGH HOSPITAL
P2039339FAIR VALUE
THE CLINTON HOSPITAL ASSOCIATION
P1388103FAIR VALUE
WING MEMORIAL HOSPITAL CORPORATION
P2192554FAIR VALUE
WING MEMORIAL HOSPITAL CORPORATION
N94515FAIR VALUE
CENTRAL NEW ENGLAND HEALTH ALLIANCE INC
P3526765FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
P145815172FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
P38719918FAIR VALUE
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER INC
P135084FAIR VALUE
COMMUNITY HEALTHLINK INC
P596650FAIR VALUE
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
P21365213FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
C58695581FAIR VALUE