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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-08T10:43:36-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042684828 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FEELEY & DRISCOLL PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 PORTLAND STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912155626 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UMASS MEMORIAL HEALTH CARE INC | BusinessNameLine1 |
| Business Name Line2 | & AFFILIATES - GROUP RETURN | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UMAS | NameControl |
| Phone | 5083340496 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 BELMONT STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01604 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SERGIO MELGAR | Name |
| Title | EVP/CFO/TREASURER | Title |
| Phone | 5083340496 | Phone |
| Date Signed | 2014-07-16 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ALAN GAROFALO | Name |
| PTIN | P00744592 | PTIN |
| Phone | 6177427788 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SERGIO MELGAR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 BELMONT STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2759187032 | GrossReceipts |
| Group Return For Affiliates | 1 | GroupReturnForAffiliates |
| All Affiliates Included | 1 | AllAffiliatesIncluded |
| Group Exemption Number | 3642 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.UMASSMEMORIAL.ORG | WebSite |
| Activity Or Mission Description | UMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 201 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 115 | NbrIndependentVotingMembers |
| Total Nbr Employees | 16343 | TotalNbrEmployees |
| Total Nbr Volunteers | 1346 | TotalNbrVolunteers |
| Total Gross UBI | 8841226 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 18486920 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 9831011 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2551874632 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2475711754 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1602742 | InvestmentIncomePriorYear |
| Investment Income Current Year | 112241056 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 44638442 | OtherRevenuePriorYear |
| Other Revenue Current Year | 15990297 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2613397252 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2613774118 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2056000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3477289 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1225466308 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1241420589 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 1213795 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 970011 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1382216501 | OtherExpensePriorYear |
| Other Expenses Current Year | 1317174393 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2610952604 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2562072271 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2444648 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 51701847 | RevenuesLessExpensesCY |
| Total Assets BOY | 2000206154 | TotalAssetsBOY |
| Total Assets EOY | 2152708574 | TotalAssetsEOY |
| Total Liabilities BOY | 1364049191 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1262465868 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 636156963 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 890242706 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | UMASS 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1161573921 | Expense |
| Grants | 2400000 | Grants |
| Revenue | 1388722679 | Revenue |
| Description | UMASS MEMORIAL MEDICAL CENTERUMASS MEMORIAL MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. UMASS MEMORIAL MEDICAL CENTER DOES THIS BY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY.FY 2013 KEY STATISTICS - TOTAL DISCHARGES: 38,403 TOTAL SURGICAL CASES: 29,648 TOTAL ER VISITS: 134,891 | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 417243458 | Expense |
| Revenue | 447632422 | Revenue |
| Description | UMASS MEMORIAL MEDICAL GROUPTHE UMASS MEMORIAL MEDICAL GROUP IS A MULTISPECIALTY GROUP PRACTICE OF PHYSICIANS WHOSE MISSION AND PURPOSE IS TO SUPPORT THE CLINICAL, EDUCATIONAL, RESEARCH AND COMMUNITY SERVICE MISSIONS OF UMASS MEMORIAL HEALTH CARE AND UMASS MEMORIAL MEDICAL CENTER. UMASS MEMORIAL MEDICAL GROUP ACCOMPLISHES THIS MISSION BY PROVIDING MEDICAL CARE TO RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 291818318 | Expense |
| Grants | 77289 | Grants |
| Revenue | 346096417 | Revenue |
| Description | OTHER PROGRAM SERVICESOTHER UMASS MEMORIAL ENTITIES - UMASS MEMORIAL HAS A NUMBER OF SUBSIDIARY ENTITIES THAT FUNCTION PRIMARILY TO DELIVER HEALTH CARE TO PATIENTS OR TO SUPPORT THE DELIVERY OF HEALTH CARE TO PATIENTS OF UMASS MEMORIAL. THEY ACCOMPLISH THIS THROUGH THE DELIVERY OF HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THEY ALSO ACCOMPLISH THIS BY PROVIDING SUPPORT, OVERSIGHT, ADMINISTRATIVE SERVICES OR PATIENT ADVOCACY SERVICES TO THE PATIENTS OF UMASS MEMORIAL, CENTRAL NEW ENGLAND, AND OTHER GEOGRAPHIES. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 74766438 | Expense |
| Grants | 1000000 | Grants |
| Revenue | 293910134 | Revenue |
| Description | UMASS 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: 125,825 | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 74766438 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 1000000 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 293910134 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 1945402135 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 1 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2088 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 16343 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 201 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 115 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT FELDMANN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5083340496 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 BELMONT STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (162 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| ANDRIENI JULIA MD | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 31.00 | X | 304253 | 0 | 25142 | ||||
| BROWN ALAN P MD | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 31.00 | X | 189608 | 0 | 33379 | ||||
| BROWN DOUGLAS S | |||||||||
| SECRETARY, UMASS MEMORIAL HEALTH CARE, INC.; SR VP | 40.00 | X | 531712 | 0 | 218497 | X | |||
| CARLUCCI DANIEL MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 32.00 | X | 312927 | 0 | 27123 | ||||
| CAVAGNARO III CHARLES MD | |||||||||
| PRESIDENT, WING MEMORIAL HOSPITAL | 40.00 | X | 388591 | 0 | 218011 | X | |||
| COFONE MICHAEL J | |||||||||
| INTERIM PRESIDENT, CENTRAL NEW ENGLAND HEALTHALLIA | 40.00 | X | 291379 | 0 | 23427 | X | |||
| CORBETT WILLIAM MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 40.00 | X | 392975 | 0 | 100060 | ||||
| DALY SHEILA | |||||||||
| PRESIDENT, DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 40.00 | X | 286008 | 0 | 135083 | X | |||
| DICKSON ERIC W MD | |||||||||
| PRESIDENT & CEO, UMASS MEMORIAL HEALTH CARE, INC. | 40.00 | X | 545340 | 0 | 168423 | X | |||
| FAIRCHILD DAVID MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HOSPITALS, INC. | 40.00 | X | 450045 | 0 | 87215 | ||||
| FERGUSON R KEVIN MD | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 40.00 | X | 219260 | 0 | 34758 | ||||
| FERRUCCI JOSEPH MD | |||||||||
| DIRECTOR, CMMIC, INC. | 32.00 | X | 383230 | 0 | 39112 | ||||
| FINBERG ROBERT W MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 20.00 | X | 299143 | 0 | 159525 | ||||
| GOTTLIEB PHILIP D MD | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 40.00 | X | 373805 | 0 | 44328 | ||||
| KEATING TODD A | |||||||||
| TREASURER & CFO, DIRECTOR, UMASS MEMORIAL HEALTH C | 40.00 | X | 606611 | 0 | 292549 | X | |||
| KENNEDY KATHRYN MD | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 36.00 | X | 286961 | 0 | 40429 | ||||
| LAPIDAS GARY N | |||||||||
| PRESIDENT, DIRECTOR, UNTIL 1/18/13 UMASS MEMORIAL | 40.00 | X | 478212 | 0 | 214570 | X | |||
| LAPRIORE CHERYL M | |||||||||
| PRESIDENT, DIRECTOR, UMASS MEMORIAL HEALTH VENTURE | 40.00 | X | 298443 | 0 | 93310 | X | |||
| LASSER DANIEL H MD | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 20.00 | X | 269881 | 0 | 172588 | ||||
| MAGUIRE DAVID L MD | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 40.00 | X | 250203 | 0 | 11174 | ||||
| MATTA LALITA MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 24.00 | X | 129859 | 0 | 25242 | ||||
| MESSINA LOUIS MD | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 36.00 | X | 632105 | 0 | 40438 | ||||
| METZMAKER JEFFREY N MD | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 29.00 | X | 407081 | 0 | 37438 | ||||
| MOORE KAREN | |||||||||
| PRESIDENT, DIRECTOR, UNTIL 3/25/13 MARLBOROUGH HOS | 40.00 | X | 328862 | 0 | 309053 | X | |||
| MULDOON PATRICK L | |||||||||
| PRESIDENT, UMM MEDICAL CENTER & PRESIDENT, COORDIN | 40.00 | X | 528963 | 0 | 238516 | X | |||
| O'BRIEN JOHN G | |||||||||
| PRESIDENT & CEO UNTIL 2/25/13, UMASS MEMORIAL HEAL | 40.00 | X | 4053252 | 0 | 720966 | X | |||
| OKIKE O NSIDINANYA MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 40.00 | X | 522904 | 0 | 42755 | ||||
| O'LEARY DANIEL MD | |||||||||
| DIRECTOR, COORDINATED PRIMARY CARE, INC. | 25.00 | X | 156913 | 0 | 1142 | ||||
| PAPPAS ARTHUR MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HOSPITALS, INC. | 16.00 | X | 13874 | 0 | 2015 | ||||
| ROSEN MAX P MD | |||||||||
| DIRECTOR, CENTRAL MASSACHUSETTS MAGNETIC IMAGING C | 24.00 | X | 156569 | 0 | 6706 | ||||
| SCHOONOVER LINDA MD | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 24.00 | X | 146008 | 0 | 24850 | ||||
| SEYMOUR-ROUTE PAULETTE PHD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 40.00 | X | 4198 | 0 | 28614 | ||||
| SOAR BART MD | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 40.00 | X | 163534 | 0 | 17386 | ||||
| SWENSON DANA | |||||||||
| PRESIDENT/DIRECTOR, UMASS MEMORIAL REALTY, INC. | 40.00 | X | 295467 | 0 | 113855 | X | |||
| SZYMANSKI CANDRA | |||||||||
| INTERIM PRESIDENT, DIRECTOR, MARLBOROUGH HOSPITAL | 40.00 | X | 185204 | 0 | 15113 | X | |||
| TOSI STEPHEN E MD | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION; SR VP, CHI | 40.00 | X | 658479 | 0 | 265896 | ||||
| WESOLOWSKI PAUL | |||||||||
| DIRECTOR, COORDINATED PRIMARY CARE, INC. | 40.00 | X | 56780 | 0 | 1577 | ||||
| ZIEDONIS DOUGLAS MD | |||||||||
| PRESIDENT, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM | 20.00 | X | 224040 | 0 | 38658 | X | |||
| ALLEN GAIL | |||||||||
| DIRECTOR, HEALTH ALLIANCE HOSPITALS, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| ANDERSON ELAINE | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| ANTONIONI ROBERT | |||||||||
| DIRECTOR UNTIL 9/17/12, UMASS MEMORIAL BEHAVIORAL | 1.00 | X | 0 | 0 | 0 | ||||
| BABINEAU ROBERT JR MD | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| BENNETT DAVID L | |||||||||
| CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| BENNETT RICHARD K | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| BERGERON ARTHUR | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| BERKEY DENNIS D | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| BERRY SARAH G | |||||||||
| EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| BOUDREAU NORMAN | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| BOVENZI LESLIE | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| BUDD JOHN H | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| CARLSON MARY | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| CATALINA FERNANDO MD | |||||||||
| VICE CHAIRPERSON, CENTRAL NEW ENGLAND HEALTHALLIAN | 1.00 | X | 0 | 0 | 0 | ||||
| CHERUBINI J PAUL | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | X | 0 | 0 | 0 | ||||
| CHRISTENSEN RONALD | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| CLEMENTI JOHN | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| COLLINS MICHAEL MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| CONNORS MARTIN JR | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| COOLIDGE KATHERINE | |||||||||
| VICE CHAIRPERSON, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| CORNELL LOIS D | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| CROCKER FREDERICK G | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| D'ALELIO EDWARD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| DAVIS DIX F | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| DENNEHY RAYMOND III | |||||||||
| CHAIRPERSON, HEALTH ALLIANCE HOME HEALTH AND HOSPI | 1.00 | X | 0 | 0 | 0 | ||||
| DIGERONIMO ARTHUR P JR | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| DITULLIO DANIEL | |||||||||
| DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| DOBECK PAM | |||||||||
| DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| D'ONFRO PAUL | |||||||||
| CHAIRPERSON, CENTRAL NEW ENGLAND HEALTHALLIANCE, I | 1.00 | X | 0 | 0 | 0 | ||||
| FITCH ROGER | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | X | 0 | 0 | 0 | ||||
| FLOTTE TERENCE MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| GIBLIN DAVID R | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| GRAY JENNIFER | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | X | 0 | 0 | 0 | ||||
| HAVELES ROBERT | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| HENEBRY CLARK | |||||||||
| TREASURER & CLERK, CLINTON FDN; DIRECTOR, CLINTON | 1.00 | X | 0 | 0 | 0 | X | |||
| HEWITT FRANK | |||||||||
| DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| HOLLISTER MATT | |||||||||
| FIRST VICE PRESIDENT, CLINTON HOSPITAL FOUNDATION, | 1.00 | X | 0 | 0 | 0 | ||||
| JACOBSON M HOWARD | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| JOHNSON JOANNE | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | X | 0 | 0 | 0 | ||||
| KANGAS PAUL | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| KAPLAN DANIEL | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| KATSOUNAKIS THEA | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| KNOX PETER | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| LENHARDT STEPHEN W SR | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| LOWELL STEVEN | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| LYONS CYNTHIA | |||||||||
| DIRECTOR UNTIL 11/2012, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| LYONS MICHAEL MD | |||||||||
| DIRECTOR UNTIL 9/30/13, CENTRAL NEW ENGLAND HEALTH | 1.00 | X | 0 | 0 | 0 | ||||
| MACNEILL HARRIS L | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| MANZI EDWARD | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | X | 0 | 0 | 0 | ||||
| MARTIN DONATA | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| MCGRAIL WILLIAM ESQUIRE | |||||||||
| CHAIRPERSON, CLINTON HOSPITAL ASSOCIATION | 1.00 | X | 0 | 0 | 0 | ||||
| MCMAHON RICHARD MD | |||||||||
| DIRECTOR UNTIL 12/30/12, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| MCMULLEN CYNTHIA M EDD | |||||||||
| EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| MCNAMARA MARY ELLEN | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| MENDOZA STEVEN | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | X | 0 | 0 | 0 | ||||
| MERCADANTE ANTHONY J | |||||||||
| DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE, | 1.00 | X | 0 | 0 | 0 | ||||
| MITCHELL LINDA | |||||||||
| DIRECTOR UNTIL 6/1/13, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| MOLLOY ANN K | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| MORRILLY DARLENE | |||||||||
| DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE, | 1.00 | X | 0 | 0 | 0 | ||||
| MURPHY MICHAEL D | |||||||||
| VICE CHAIRPERSON, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| NOONAN EDWARD J | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| PAEN GENARO | |||||||||
| DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| PARRY EDWARD J III | |||||||||
| VICE CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| PAULINO JEANNE | |||||||||
| PRESIDENT, CLINTON HOSPITAL FOUNDATION, INC. | 1.00 | X | 0 | 0 | 0 | X | |||
| PEDERSON THORU | |||||||||
| EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| PEREZ JUDGE LUIS | |||||||||
| DIRECTOR UNTIL 1/13/13, CENTRAL NEW ENGLAND HEALTH | 1.00 | X | 0 | 0 | 0 | ||||
| PHANEUF JAMES | |||||||||
| CHAIRPERSON, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| PONGOR PAUL J MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| PURCELL PHILIP E | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| RICHER GERALD P | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| RIVARD MICHAEL | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| SANCHEZ CAROL | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| SCULLY PAUL | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| SHEA JOHN ESQUIRE | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | X | 0 | 0 | 0 | ||||
| SHELTON ROBERT LESLIE MD | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| SIEGRIST RICHARD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| SIMMONS IRINA | |||||||||
| DIRECTOR UNTIL 2/2013, UMASS MEMORIAL HEALTH CARE, | 1.00 | X | 0 | 0 | 0 | ||||
| ST AMAND JAMES | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| STARR STANLEY B JR | |||||||||
| DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| STECYK MARKIAN MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| SULLIVAN WILLIAM F SR | |||||||||
| DIRECTOR UNTIL 11/4/2012, UMASS MEMORIAL HEALTH VE | 1.00 | X | 0 | 0 | 0 | ||||
| TAYLOR HARVEY MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| TURLEY PATRICK | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| WEISBERG OREN MD | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| WHITNEY MARY | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| WILSON JACK | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| YOUNG LYNDA M | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| ALLICON KEARY T | |||||||||
| TREASURER, WING MEMORIAL HOSPITAL | 40.00 | 165712 | 0 | 61925 | X | ||||
| BRONHARD JOHN | |||||||||
| INTERIM TREASURER, CENTRAL NEW ENGLAND HEALTHALLIA | 40.00 | 150285 | 0 | 6668 | X | ||||
| CROTEAU MAUREEN | |||||||||
| SECRETARY, CLINTON HOSPITAL ASSOCIATION | 40.00 | 32783 | 0 | 12172 | X | ||||
| D'AMBRA ANN-MARIA | |||||||||
| SECRETARY, MARLBOROUGH HOSPITAL | 40.00 | 49373 | 0 | 25711 | X | ||||
| EKSTROM DEBORAH | |||||||||
| PRESIDENT, COMMUNITY HEALTHLINK, INC. | 40.00 | 252864 | 0 | 151882 | X | ||||
| FELDMANN ROBERT | |||||||||
| TREASURER, UMASS MEMORIAL LABORATORIES, INC. | 40.00 | 314111 | 0 | 194540 | X | ||||
| FRAKER MURIEL E ESQUIRE | |||||||||
| FORMER SECRETARY UNTIL 3/27/12, UMASS MEMORIAL MED | 40.00 | 184867 | 0 | 110230 | X | ||||
| MCCUE STEVEN | |||||||||
| TREASURER, MARLBOROUGH HOSPITAL | 40.00 | 197255 | 0 | 41035 | X | ||||
| MILLER LAUREN B | |||||||||
| SECRETARY, WING MEMORIAL HOSPITAL | 40.00 | 79277 | 0 | 11957 | X | ||||
| MORABITO NANCY E | |||||||||
| SECRETARY, UNTIL 3/28/13 CLINTON HOSPITAL ASSOCIAT | 32.00 | 46083 | 0 | 8689 | X | ||||
| MORIN LYNN A | |||||||||
| SECRETARY, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC | 40.00 | 84543 | 0 | 5897 | X | ||||
| O'BRIEN WILLIAM H | |||||||||
| SECRETARY, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM | 40.00 | 121253 | 0 | 73887 | X | ||||
| OLSON JEFFREY | |||||||||
| TREASURER, CLINTON HOSPITAL ASSOCIATION | 40.00 | 139290 | 0 | 21830 | X | ||||
| SHAKMAN ALICE | |||||||||
| PRESIDENT, CENTRAL MASSACHUSETTS MAGNETIC IMAGING | 40.00 | 291254 | 0 | 31149 | X | ||||
| SMITH FRANCIS W | |||||||||
| CLERK, UMM HEALTH VENTURES, INC. & UMM MED GROUP, | 40.00 | 190672 | 0 | 76009 | X | ||||
| STREETER MICHELE M | |||||||||
| TREASURER, UMASS MEMORIAL MEDICAL GROUP, INC.; EXE | 40.00 | 373330 | 0 | 193075 | X | ||||
| ANDERSON MILTON C | |||||||||
| SR. VP, CHIEF HR OFFICER | 40.00 | 529912 | 0 | 88069 | X | ||||
| BLUTE MICHAEL MD | |||||||||
| FORMER DIRECTOR UNTIL 3/31/2012, CANCER CENTER OF | 40.00 | 141719 | 0 | 133970 | X | ||||
| BOLLAND ESHGHI KATHARINE | |||||||||
| VP, DEPUTY GENERAL COUNSEL | 40.00 | 338695 | 0 | 67056 | X | ||||
| BRENCKLE GEORGE PHD | |||||||||
| SR. VP, CHIEF INFORMATION OFFICER | 40.00 | 385261 | 0 | 164172 | X | ||||
| CYR JAMES P | |||||||||
| SR VP, HEART AND VASCULAR DISEASES | 40.00 | 266309 | 0 | 41819 | X | ||||
| DALEY JENNIFER MD | |||||||||
| EXECUTIVE VP, CHIEF OPERATING OFFICER, UNTIL 3/18/ | 40.00 | 593638 | 0 | 919806 | X | ||||
| DIAMOND VICTORIA | |||||||||
| SR. VP, OPERATIONS | 40.00 | 379990 | 0 | 174782 | X | ||||
| ETTINGER WALTER H MD | |||||||||
| FORMER PRESIDENT - MEDICAL CENTER, UNTIL 1/20/12 | 40.00 | 128625 | 0 | 249000 | X | ||||
| FISHER BARBARA | |||||||||
| SR. VP, OPERATIONS | 40.00 | 336028 | 0 | 140830 | X | ||||
| HUDLIN MARGARET MD | |||||||||
| CHIEF MEDICAL OFFICER/VP PERIOPERATIVE SVCS | 40.00 | 333780 | 0 | 36178 | X | ||||
| HYLKA SHARON | |||||||||
| SR. VP, HOSPITAL ADMIN. | 40.00 | 420176 | 0 | 284804 | X | ||||
| KLUGMAN ROBERT MD | |||||||||
| CHIEF QUALITY OFFICER | 40.00 | 501084 | 0 | 284146 | X | ||||
| KRUGER NANCY | |||||||||
| SR. VP, CHIEF NURSING OFFICER, UNTIL 6/29/12 | 40.00 | 319806 | 0 | 68870 | X | ||||
| PHILLIPS ROBERT A MD | |||||||||
| MED DIR, HEART & VASCULAR COE, UNTIL 6/7/13 | 40.00 | 844144 | 0 | 302160 | X | ||||
| RANDOLPH JOHN T | |||||||||
| VP, CHIEF COMPLIANCE OFFICER | 40.00 | 248138 | 0 | 171007 | X | ||||
| LITWIN DEMETRIUS MD | |||||||||
| PHYSICIAN, CHAIR OF SURGERY DEPT - MED GROUP | 27.00 | 708522 | 0 | 39783 | X | ||||
| TAM STANLEY MD | |||||||||
| PHYSICIAN, CHIEF OF CARDIOTHORACIC SURGERY - MED G | 30.00 | 707593 | 0 | 39112 | X | ||||
| AROUS ELIAS J MD | |||||||||
| PHYSICIAN, ASSOC. CHIEF MEDICAL OFFICER, CHIEF OF | 32.00 | 595081 | 0 | 37438 | X | ||||
| AYERS DAVID C MD | |||||||||
| PHYSICIAN, CHAIR OF ORTHOPEDICS AND PHYSICAL REHAB | 33.00 | 594456 | 0 | 39112 | X | ||||
| BOZORGZADEH ADEL MD | |||||||||
| PHYSICIAN, CHIEF OF ORGAN TRANSPLANTATION - MED GR | 32.00 | 588599 | 0 | 39873 | X | ||||
| CHANDLER WILLIS | |||||||||
| FORMER DIRECTOR UNTIL 12/31/11, CLINTON HOSPITAL A | 0.00 | 36251 | 0 | 61315 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 27493438 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 8478881 | TotalOtherCompensation |
| Number Individuals GT100 K | 2593 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| XEROX BUSINESS SVCS LLC | |||||
| PO BOX 201322 | DALLAS | TX | 75320 | I/S MANAGEMENT SERVICES | 28938466 |
| MCKINSEY & CO INC | |||||
| PO BOX 7247-7255 | PHILADELPHIA | PA | 181707255 | CONSULTING SERVICES | 12775000 |
| TURNER CONSTRUCTION | |||||
| 2 SEAPORT LANE | BOSTON | MA | 02210 | SEE FOOTNOTE A | 8586457 |
| DELOITTE CONSULTING | |||||
| PO BOX 7247-6447 | PHILADELPHIA | PA | 191706447 | CONSULTING SERVICES | 8289502 |
| MORRISON MANAGEMENT SPECIALISTS | |||||
| PO BOX 102299 | ATLANTA | GA | 30368 | DIETARY MANAGEMENT SERVICE | 5376569 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 147 | NumberOfContractorsGT100K |
| Fundraising Events | 368781 | FundraisingEvents |
| Related Organizations | 333135 | RelatedOrganizations |
| Government Grants | 5120392 | GovernmentGrants |
| All Other Contributions | 4008703 | AllOtherContributions |
| Noncash Contributions | 159892 | NoncashContributions |
| Total Contributions | 9831011 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| NET PATIENT SERVICE RE | 900099 | 1868084417 | 1868084417 | |
| SPECIAL MEDICAID PAYME | 900099 | 188000001 | 188000001 | |
| AFFILIATE RELATED PROG | 900099 | 166045532 | 166045532 | |
| SYSTEM ALLOCATION REVE | 900099 | 161874538 | 161874538 | |
| OTHER PSR & JV | 900099 | 66930536 | 65455252 | $1,475,284 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24776730 | TotalRevenueColumn |
| Related Or Exempt Function Income | 24776730 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2475711754 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11276731 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36387 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -423 | UnrelatedBusinessRevenue |
| Exclusion | $11,240,767 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 73187 | TotalRevenueColumn |
| Exclusion | $73,187 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2281717 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 805230 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1476487 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1476487 | TotalRevenueColumn |
| Exclusion | $1,476,487 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 244743603 | Securities |
| Other | 95893 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 143283198 | Securities |
| Other | 591973 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 101460405 | Securities |
| Other | -496080 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 100964325 | TotalRevenueColumn |
| Related Or Exempt Function Income | -2502 | RelatedOrExemptFunctionIncome |
| Exclusion | $100,966,827 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 1157271 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 368781 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 732513 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 424758 | TotalRevenueColumn |
| Exclusion | $424,758 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| LAB OUTREACH PROGRAM | 621500 | 8142507 | 8142507 | ||
| OTHER REVENUE | 900099 | 4114347 | 699142 | 2091297 | $1,323,908 |
| SUBLEASE INCOME | 900099 | 1759011 | $1,759,011 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 14015865 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2613774118 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2476361652 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 8841226 | UnrelatedBusinessRevenue |
| Exclusion | $118,740,229 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3400000 | Total |
| Program Services | 3400000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77289 | Total |
| Program Services | 77289 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30988988 | Total |
| Program Services | 12296764 | ProgramServices |
| Management And General | 18692224 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 934281081 | Total |
| Program Services | 802845193 | ProgramServices |
| Management And General | 131006618 | ManagementAndGeneral |
| Fundraising | 429270 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75613565 | Total |
| Program Services | 64708913 | ProgramServices |
| Management And General | 10898618 | ManagementAndGeneral |
| Fundraising | 6034 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135664704 | Total |
| Program Services | 114124883 | ProgramServices |
| Management And General | 21502442 | ManagementAndGeneral |
| Fundraising | 37379 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64872251 | Total |
| Program Services | 55368532 | ProgramServices |
| Management And General | 9485948 | ManagementAndGeneral |
| Fundraising | 17771 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 829084 | Total |
| Program Services | 90835 | ProgramServices |
| Management And General | 738249 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2052934 | Total |
| Program Services | 3966 | ProgramServices |
| Management And General | 2048968 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1111279 | Total |
| Management And General | 1111279 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 435175 | Total |
| Program Services | 435175 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 892801 | Total |
| Management And General | 892801 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59567187 | Total |
| Program Services | 47294151 | ProgramServices |
| Management And General | 12138002 | ManagementAndGeneral |
| Fundraising | 135034 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2889374 | Total |
| Program Services | 640018 | ProgramServices |
| Management And General | 2183384 | ManagementAndGeneral |
| Fundraising | 65972 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24216404 | Total |
| Program Services | 19468092 | ProgramServices |
| Management And General | 4725399 | ManagementAndGeneral |
| Fundraising | 22913 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17814720 | Total |
| Program Services | 2462304 | ProgramServices |
| Management And General | 15352416 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79076395 | Total |
| Program Services | 51172287 | ProgramServices |
| Management And General | 27897942 | ManagementAndGeneral |
| Fundraising | 6166 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2143700 | Total |
| Program Services | 1798511 | ProgramServices |
| Management And General | 341883 | ManagementAndGeneral |
| Fundraising | 3306 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1366531 | Total |
| Program Services | 958798 | ProgramServices |
| Management And General | 404409 | ManagementAndGeneral |
| Fundraising | 3324 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16635202 | Total |
| Program Services | 15966864 | ProgramServices |
| Management And General | 668338 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94028704 | Total |
| Program Services | 72683035 | ProgramServices |
| Management And General | 21345669 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53935822 | Total |
| Program Services | 22855922 | ProgramServices |
| Management And General | 31079900 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PURCHASED SERVICES | 448929335 | 237094229 | 211702763 | 132343 |
| MEDICAL SUPPLIES | 233372110 | 192611816 | 40760294 | |
| MEDICAL EDUCATION SERVI | 137750000 | 137750000 | ||
| SYSTEM OVERHEAD ACTIVIT | 104463556 | 63481382 | 40982174 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35664080 | Total |
| Program Services | 25813176 | ProgramServices |
| Management And General | 9740405 | ManagementAndGeneral |
| Fundraising | 110499 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2562072271 | Total |
| Program Services | 1945402135 | ProgramServices |
| Management And General | 615700125 | ManagementAndGeneral |
| Fundraising | 970011 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 175920045 | BOY |
| EOY | 88620545 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95309671 | BOY |
| EOY | 68336977 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2365049 | BOY |
| EOY | 2360031 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 344055341 | BOY |
| EOY | 285713717 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4239536 | BOY |
| EOY | 4195940 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30033937 | BOY |
| EOY | 32068443 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25047714 | BOY |
| EOY | 25006123 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25116769 | BOY |
| EOY | 20405576 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1658661550 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 963137816 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 696523029 | BOY |
| EOY | 695523734 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 383112009 | BOY |
| EOY | 453010564 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143268414 | BOY |
| EOY | 129979998 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13175619 | BOY |
| EOY | 48616496 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 608060 | BOY |
| EOY | 568745 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61430961 | BOY |
| EOY | 298301685 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2000206154 | BOY |
| EOY | 2152708574 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 314454122 | BOY |
| EOY | 307010702 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5206847 | BOY |
| EOY | 10747258 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 367082810 | BOY |
| EOY | 354202240 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55106326 | BOY |
| EOY | 71017624 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29416760 | BOY |
| EOY | 27491001 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 592782326 | BOY |
| EOY | 491997043 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1364049191 | BOY |
| EOY | 1262465868 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 482080876 | BOY |
| EOY | 729998071 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74240870 | BOY |
| EOY | 80424280 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79835217 | BOY |
| EOY | 79820355 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 636156963 | BOY |
| EOY | 890242706 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2000206154 | BOY |
| EOY | 2152708574 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 51701847 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 22942932 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 179440964 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $194,862 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Rallies Demonstrations | $240,313 | RalliesDemonstrationsAmount |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 435175 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 109418023 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 8142465 | InvestmentEarningsOrLosses |
| Other Expenditures | -5098294 | OtherExpenditures |
| End Of Year Balance | 112462194 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 98294963 | BeginningOfYearBalance |
| Contributions | 2557800 | Contributions |
| Investment Earnings Or Losses | 12021986 | InvestmentEarningsOrLosses |
| Other Expenditures | 3456726 | OtherExpenditures |
| End Of Year Balance | 109418023 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 104017758 | BeginningOfYearBalance |
| Contributions | 316330 | Contributions |
| Investment Earnings Or Losses | -2402463 | InvestmentEarningsOrLosses |
| Other Expenditures | 3636662 | OtherExpenditures |
| End Of Year Balance | 98294963 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 98561352 | BeginningOfYearBalance |
| Contributions | 1245442 | Contributions |
| Investment Earnings Or Losses | 5785214 | InvestmentEarningsOrLosses |
| Other Expenditures | 1574250 | OtherExpenditures |
| End Of Year Balance | 104017758 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 97341571 | BeginningOfYearBalance |
| Contributions | 172660 | Contributions |
| Investment Earnings Or Losses | 510787 | InvestmentEarningsOrLosses |
| Other Expenditures | -536334 | OtherExpenditures |
| End Of Year Balance | 98561352 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.71000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.29000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16504747 | OtherCostOrOtherBasis |
| Book Value | 16504747 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 855223125 | OtherCostOrOtherBasis |
| Depreciation | 480227439 | Depreciation |
| Book Value | 374995686 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24960669 | OtherCostOrOtherBasis |
| Depreciation | 14262001 | Depreciation |
| Book Value | 10698668 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 688178305 | OtherCostOrOtherBasis |
| Depreciation | 463599110 | Depreciation |
| Book Value | 224579195 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 73794704 | OtherCostOrOtherBasis |
| Depreciation | 5049266 | Depreciation |
| Book Value | 68745438 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 695523734 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (9 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| TIFF ABSOLUTE RETURN POOL (6,291 SHARES) | 26477471 | F |
| TIFF PRIVATE EQUITY PARTNERS 2006 (2,812,830 SHARES) | 2582772 | F |
| FRANK RUSSELL GLOBAL PRIVATE EQUITY FUND (497,714 SHARES) | 382370 | F |
| BENEFICIAL INTEREST IN TRUSTS | 77537199 | F |
| AETOS CAPITAL LONG/SHORT STRATEGIES (70,908 SHARES) | 7441167 | F |
| AETOS CAPITAL DISTRESSED INV STRATEGIES (23,360 SHARES) | 3271891 | F |
| AETOS CAPITAL MULTI-STRATEGY ARBITRAGE (39,011 SHARES) | 4607795 | F |
| MPPLTD/PORTFOLIO CLASS A (2,333 SHARES) | 176323 | F |
| TIFF ABSOLUTE RETURN POOL CLASS C (3,876 SHARES) | 7503010 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 129979998 | TotalOfBookValueSecurities |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM RELATED PARTIES | 106050402 |
| CSV LIFE INSURANCE | 635012 |
| MALPRACTICE TAIL COVERAGE | 30135892 |
| DUE FROM CLINTON HOSPITAL FOUNDATION | 1217696 |
| LONG TERM SECURITY DEPOSITS | 207722 |
| OTHER NON-CURRENT ASSETS | 54961 |
| RECEIVABLE FROM MEDICAID | 160000000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 298301685 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (12 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 491997043 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 0 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
Name Of Organization NameOfOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UMASS MEMORIAL FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 SOUTH STREET | AddressLine1 |
| City | SHREWSBURY | City |
| State | MA | State |
| ZIP Code | 01545 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | FUNDRAISING | Activity |
| Fundraiser Control Of Funds | 1 | FundraiserControlOfFunds |
| Gross Receipts | 1129201 | GrossReceipts |
| Amount Retained By Contractor | 52694 | AmountRetainedByContractor |
| Net To Organization | 1076507 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 1129201 | TotalGrossReceipts |
| Total Retained By Contractors | 52694 | TotalRetainedByContractors |
| Total Net To Organization | 1076507 | TotalNetToOrganization |
| Licensed States | MA | LicensedStates |
| Licensed States | NH | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | PARENT-WINTER BALL | NameOfEvent1 |
| Gross Receipts Event1 | 678157 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 678157 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 369422 | OtherDirectExpensesEvent1 |
| Name Of Event2 | CNEHA GOLF TOURNAMENT | NameOfEvent2 |
| Gross Receipts Event2 | 293517 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 119673 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 173844 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 43610 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 104868 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 14447 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 10 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 554378 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 249108 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 305270 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 19622 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 30440 | RentFacilityCostsOtherEvents |
| Other Direct Expenses Other Events | 150104 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 1526052 | GrossReceiptsTotal |
| Charitable Contributions Total | 368781 | CharitableContributionsTotal |
| Gross Revenue Total Events | 1157271 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 63232 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 135308 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 533973 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 732513 | DirectExpenseSummaryEvents |
| Net Income Summary | 424758 | NetIncomeSummary |
Form990 Schedule G Part IV Form990ScheduleGPartIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART I, LINE 2B; COLUMN (III) | PART I, LINE 2B - FUNDRAISER ADDITIONAL INFORMATION | UMASS 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 II | SCHEDULE G - ADDITIONAL INFORMATION | PART II, COLUMN (A) EVENT #1 THE WINTER BALL WAS HELD BY THE PARENT PART II, COLUMN (B) EVENT #2 THE HOSPITAL GOLF TOURNEY WAS HELD BY CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. PART II, COLUMN (C) OTHER EVENTS (10 EVENTS REPORTED) ARE: 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 600.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 61037114 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27391424 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 33645690 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01890 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 286384445 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 259916272 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26468173 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01490 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 47513401 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42848786 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4664615 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 394934960 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 330156482 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 64778478 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03640 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3872046 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2320968 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1551078 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 200757227 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 126236106 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 74521121 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04190 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 87451088 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 77417999 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10033089 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00560 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4555380 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2000000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2555380 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 296635741 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 207975073 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 88660668 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04980 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 691570701 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 538131555 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 153439146 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08620 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 9215 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 9215 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1931 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1931 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 30545 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 30545 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 518315 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 518315 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 560006 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 560006 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,625,317 | BadDebtExpenseAmount |
| Amount Attributable To | 2264397 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 370183110 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 375079009 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4895899 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (12 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 1 COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | |||
| PROVIDES INSURANCE | 1.00000 | 0.00000 | 0.00000 |
| 2 UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP | |||
| MANAGES POOLED INVESTMENTS | 1.00000 | 0.00000 | 0.00000 |
| 3 UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC | |||
| MAGNETIC RESONANCE IMAGING CENTER | 0.60000 | 0.00000 | 0.00000 |
| 4 UMASS MEMORIAL MRI OF MARLBOROUGH LLC | |||
| MAGNETIC RESONANCE IMAGING CENTER | 0.56000 | 0.00000 | 0.00000 |
| 5 MEMORIAL OFFICE CONDOMINIUM TRUST | |||
| CONDO ASSOCIATION THAT OWNS MEDICAL OFFICE BUILDING | 0.53690 | 0.00000 | 0.00000 |
| 6 UMASS MEMORIAL MRI & IMAGING CENTER LLC | |||
| MAGNETIC RESONANCE IMAGING CENTER | 0.50000 | 0.00000 | 0.00000 |
| 7 NEW ENGLAND REHABILITATION SERVICES OF CENTRAL MASSACHUSETTS INC | |||
| ACUTE CARE REHABILITATION FACILITY | 0.50000 | 0.00000 | 0.00000 |
| 8 BIO LABS INC | |||
| CLINICAL LABORATORY | 1.00000 | 0.00000 | 0.00000 |
| 9 HEALTHALLIANCE WITH PHYSICIANS INC | |||
| PHYSICIAN ALLIANCE | 0.50000 | 0.00000 | 0.00000 |
| 10 SHIELDS IMAGING OF MASSACHUSETTS LLC | |||
| MANAGEMENT COMPANY FOR PET IMAGING | 0.25000 | 0.00000 | 0.00000 |
| 11 UMASS MEMORIAL SHIELDS PHARMACY LLC | |||
| PHARMACY SERVICES | 0.50000 | 0.00000 | 0.00000 |
| 12 116 BELMONT STREET INC | |||
| CONDO ASSOCIATION | 0.63040 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 5 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital |
|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER INC | |||||
| 1 | 55 LAKE AVE 119 BELMONT STREET | WORCESTER | MA | 01605 | X |
| HEALTHALLIANCE HOSPITAL INC | |||||
| 2 | 60 HOSPITAL ROAD | LEOMINSTER | MA | 01453 | X |
| MARLBOROUGH HOSPITAL | |||||
| 3 | 157 UNION STREET | MARLBOROUGH | MA | 01752 | X |
| WING MEMORIAL HOSPITAL CORPORATION | |||||
| 4 | 40 WRIGHT STREET | PALMER | MA | 01069 | X |
| CLINTON HOSPITAL ASSOCIATION | |||||
| 5 | 201 HIGHLAND STREET | CLINTON | MA | 01510 | X |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Community DefinitionCommunityDefinition | Community DemographicsCommunityDemographics | Existing ResourcesExistingResources | How Data ObtainedHowDataObtained | Community Health NeedsCommunityHealthNeeds | Other Health IssuesOtherHealthIssues | Identifying ProcessIdentifyingProcess | Consulting ProcessConsultingProcess | Information GapsInformationGaps | Needs Assessment ConductedNeedsAssessmentConducted | Take Into AccountTakeIntoAccount | Other FacilitiesOtherFacilities | CHNA Widely AvailableCHNAWidelyAvailable | Own WebsiteOwnWebsite | On RequestOnRequest | Other MethodOtherMethod | Adopt Implement StrategyAdoptImplementStrategy | Execute Implement StrategyExecuteImplementStrategy | Develop Community PlanDevelopCommunityPlan | Participate Community PlanParticipateCommunityPlan | Include Operational PlansIncludeOperationalPlans | Adopt BudgetAdoptBudget | Prioritize Health NeedsPrioritizeHealthNeeds | Prioritize ServicesPrioritizeServices | All Needs AddressedAllNeedsAddressed | Organization Incur Excise TaxOrganizationIncurExciseTax | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Attached To InvoicesAttachedToInvoices | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Permit Other ActionsPermitOtherActions | Collection ActivitiesCollectionActivities | Other ActionsOtherActions | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges | Other PublicityOtherPublicity | Other Actions TakenOtherActionsTaken |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER INC | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 1 | X | X | X | X | X | X | X | X | X | 12 | 1 | 0 | 1 | X | X | X | X | X | X | X | X | X | X | X | 0 | 0 | 1 | 1 | 200.000000000000 | 1 | 600.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | X | X | X | X | 1 | X | 1 | X | X | X | X | X | 1 | X | 0 | 1 | ||
| HEALTHALLIANCE HOSPITAL INC | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 1 | X | X | X | X | X | X | X | X | X | 11 | 1 | 1 | 1 | X | X | X | X | X | X | X | X | X | X | X | 0 | 0 | 1 | 1 | 200.000000000000 | 1 | 600.000000000000 | 1 | X | X | X | 1 | 1 | X | X | X | X | 1 | X | 1 | X | X | X | X | X | 1 | X | 0 | 1 | X | X | |||
| MARLBOROUGH HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | 1 | X | X | X | X | X | X | X | X | 12 | 1 | 1 | 1 | X | X | X | X | X | X | X | X | X | X | 0 | 0 | 1 | 1 | 200.000000000000 | 1 | 600.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | X | X | X | 1 | X | 1 | X | X | X | X | X | 1 | X | 0 | 1 | |||||
| WING MEMORIAL HOSPITAL CORPORATION | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | 1 | X | X | X | X | X | X | X | X | 12 | 1 | 1 | 1 | X | X | X | X | X | X | X | X | X | X | 0 | 0 | 1 | 1 | 200.000000000000 | 1 | 600.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | X | X | X | X | 1 | X | 1 | X | X | X | X | X | 1 | X | 0 | 1 | ||||
| CLINTON HOSPITAL ASSOCIATION | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5 | 1 | X | X | X | X | X | X | X | X | X | 11 | 1 | 1 | 1 | X | X | X | X | X | X | X | X | X | X | 0 | 0 | 1 | 1 | 200.000000000000 | 1 | 600.000000000000 | 1 | X | X | X | X | 1 | 1 | X | X | X | X | X | X | 1 | X | 1 | X | X | X | X | X | 1 | X | 0 | 1 | |||
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 4 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (4 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| UMASS MEMORIAL LABORATORIES | ||||
| BIOTECH ONE 365 PLANTATION STREET | WORCESTER | MA | 01605 | SATELLITE - LAB SERVICES |
| UMASS MEMORIAL MEDICAL CENTER(PATHOLOGY) | ||||
| BIOTECH THREE ONE INNOVATION DRIVE | WORCESTER | MA | 01605 | SATELLITE - PATHOLOGY SERVICES |
| UMASS MEMORIAL MEDICAL CENTER AMBULANCE | ||||
| 23 WELL STREET | WORCESTER | MA | 01604 | SATELLITE - AMBULATORY SERVICES |
| UMASS MEMORIAL MEDICAL CENTER AMBULANCE | ||||
| 100 PROVIDENCE STREET | WORCESTER | MA | 01604 | SATELLITE - AMBULATORY SERVICES |
Form990 Schedule H Part VI Form990ScheduleHPartVI (49 entries)
| ExplanationExplanation | IdentifierIdentifier | Return 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.PDF | HEALTHALLIANCE 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.PDF | MARLBOROUGH 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. | ||
| MA | REPORTS FILED WITH STATES | PART 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC | |||||||
| 19 TACOMA STREET | WORCESTER | MA | 01605 | 042513817 | 1000000 | 0 | SUPPORT FOR HEALTH CENTER'S MISSION |
| FAMILY HEALTH CENTER OF WORCESTER INC | |||||||
| 26 QUEEN STREET | WORCESTER | MA | 01610 | 042485308 | 1000000 | 0 | SUPPORT FOR HEALTH CENTER'S MISSION |
| UNIVERSITY OF MA MEDICAL SCHOOL | |||||||
| 55 LAKE AVE | WORCESTER | MA | 01605 | 043167352 | 1000000 | 0 | ACADEMIC CHAIR FUNDING |
| UNIVERSITY OF MA MEDICAL SCHOOL | |||||||
| 55 LAKE AVE | WORCESTER | MA | 01605 | 043167352 | 400000 | 0 | MUSCULOSKELETAL CENTER EXCELLENCE GRANT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| SCHOLARSHIPS | 2 | 4000 |
| INTERNSHIPS | 33 | 73289 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | PART I LINE 2: MEDICAL CENTER: AT REASONABLE INTERVALS, RE-EVALUATION OF THE GRANTS OCCURS TO ENSURE THAT THE ARRANGEMENTS ARE EXPECTED TO CONTINUE TO SATISFY THE STANDARD SET FORTH. THE HEALTH CENTERS WILL DOCUMENT THE RE-EVALUATION CONTEMPORANEOUSLY. PART I LINE 2: MEDICAL CENTER: AS PART OF THE FUNDING AGREEMENT, BI-ANNUAL UPDATES WILL BE PROVIDED TO THE SENIOR VICE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (67 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDRIENI JULIA MD | ||||||||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GRO | 273199 | 0 | 31054 | 0 | 0 | 0 | 12750 | 0 | 12392 | 0 | 329395 | 0 | 0 | 0 |
| BROWN ALAN P MD | ||||||||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL | 166308 | 0 | 23300 | 0 | 0 | 0 | 9787 | 0 | 23592 | 0 | 222987 | 0 | 0 | 0 |
| BROWN DOUGLAS S | ||||||||||||||
| SECRETARY, UMASS MEMORIAL HEALTH CAR | 396070 | 0 | 100266 | 0 | 35376 | 0 | 195153 | 0 | 23344 | 0 | 750209 | 0 | 35376 | 0 |
| CARLUCCI DANIEL MD | ||||||||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 264109 | 0 | 32203 | 0 | 16615 | 0 | 0 | 0 | 27123 | 0 | 340050 | 0 | 0 | 0 |
| CAVAGNARO III CHARLES MD | ||||||||||||||
| PRESIDENT, WING MEMORIAL HOSPITAL | 302028 | 0 | 86563 | 0 | 0 | 0 | 157132 | 0 | 60879 | 0 | 606602 | 0 | 0 | 0 |
| COFONE MICHAEL J | ||||||||||||||
| INTERIM PRESIDENT, CENTRAL NEW ENGLA | 251709 | 0 | 38371 | 0 | 1299 | 0 | 799 | 0 | 22628 | 0 | 314806 | 0 | 0 | 0 |
| CORBETT WILLIAM MD | ||||||||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 291621 | 0 | 76427 | 0 | 24927 | 0 | 79775 | 0 | 20285 | 0 | 493035 | 0 | 24927 | 0 |
| DALY SHEILA | ||||||||||||||
| PRESIDENT, DIRECTOR, CLINTON HOSPITA | 202742 | 0 | 51928 | 0 | 31338 | 0 | 108374 | 0 | 26709 | 0 | 421091 | 0 | 31338 | 0 |
| DICKSON ERIC W MD | ||||||||||||||
| PRESIDENT & CEO, UMASS MEMORIAL HEAL | 419373 | 0 | 103620 | 0 | 22347 | 0 | 111023 | 0 | 57400 | 0 | 713763 | 0 | 20844 | 0 |
| FAIRCHILD DAVID MD | ||||||||||||||
| DIRECTOR, UMASS MEMORIAL HOSPITALS, | 375936 | 0 | 74109 | 0 | 0 | 0 | 60922 | 0 | 26293 | 0 | 537260 | 0 | 0 | 0 |
| FERGUSON R KEVIN MD | ||||||||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GRO | 202116 | 0 | 17144 | 0 | 0 | 0 | 10900 | 0 | 23858 | 0 | 254018 | 0 | 0 | 0 |
| FERRUCCI JOSEPH MD | ||||||||||||||
| DIRECTOR, CMMIC, INC. | 356540 | 0 | 26690 | 0 | 0 | 0 | 12750 | 0 | 26362 | 0 | 422342 | 0 | 0 | 0 |
| FINBERG ROBERT W MD | ||||||||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE | 246772 | 0 | 52371 | 0 | 0 | 0 | 129892 | 0 | 29633 | 0 | 458668 | 0 | 0 | 0 |
| GOTTLIEB PHILIP D MD | ||||||||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATI | 231666 | 0 | 142139 | 0 | 0 | 0 | 12750 | 0 | 31578 | 0 | 418133 | 0 | 0 | 0 |
| KEATING TODD A | ||||||||||||||
| TREASURER & CFO, DIRECTOR, UMASS MEM | 472105 | 0 | 89313 | 0 | 45193 | 0 | 269603 | 0 | 22946 | 0 | 899160 | 0 | 45193 | 0 |
| KENNEDY KATHRYN MD | ||||||||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GRO | 229483 | 0 | 57478 | 0 | 0 | 0 | 12729 | 0 | 27700 | 0 | 327390 | 0 | 0 | 0 |
| LAPIDAS GARY N | ||||||||||||||
| PRESIDENT, DIRECTOR, UNTIL 1/18/13 U | 367356 | 0 | 68995 | 0 | 41861 | 0 | 202237 | 0 | 12333 | 0 | 692782 | 0 | 41861 | 0 |
| LAPRIORE CHERYL M | ||||||||||||||
| PRESIDENT, DIRECTOR, UMASS MEMORIAL | 225404 | 0 | 53821 | 0 | 19218 | 0 | 72353 | 0 | 20957 | 0 | 391753 | 0 | 19218 | 0 |
| LASSER DANIEL H MD | ||||||||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GRO | 207049 | 0 | 62832 | 0 | 0 | 0 | 146524 | 0 | 26064 | 0 | 442469 | 0 | 0 | 0 |
| MAGUIRE DAVID L MD | ||||||||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 215385 | 0 | 34056 | 0 | 762 | 0 | 9673 | 0 | 1501 | 0 | 261377 | 0 | 0 | 0 |
| MATTA LALITA MD | ||||||||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 124877 | 0 | 4450 | 0 | 532 | 0 | 2584 | 0 | 22658 | 0 | 155101 | 0 | 0 | 0 |
| MESSINA LOUIS MD | ||||||||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GRO | 397761 | 0 | 234344 | 0 | 0 | 0 | 12750 | 0 | 27688 | 0 | 672543 | 0 | 0 | 0 |
| METZMAKER JEFFREY N MD | ||||||||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GRO | 287640 | 0 | 119441 | 0 | 0 | 0 | 12750 | 0 | 24688 | 0 | 444519 | 0 | 0 | 0 |
| MOORE KAREN | ||||||||||||||
| PRESIDENT, DIRECTOR, UNTIL 3/25/13 M | 281170 | 0 | 47692 | 0 | 0 | 0 | 284971 | 0 | 24082 | 0 | 637915 | 0 | 0 | 0 |
| MULDOON PATRICK L | ||||||||||||||
| PRESIDENT, UMM MEDICAL CENTER & PRES | 389759 | 0 | 105271 | 0 | 33933 | 0 | 199175 | 0 | 39341 | 0 | 767479 | 0 | 33933 | 0 |
| O'BRIEN JOHN G | ||||||||||||||
| PRESIDENT & CEO UNTIL 2/25/13, UMASS | 941448 | 0 | 232336 | 0 | 2879468 | 0 | 702230 | 0 | 18736 | 0 | 4774218 | 0 | 2416000 | 0 |
| OKIKE O NSIDINANYA MD | ||||||||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE | 451572 | 0 | 71332 | 0 | 0 | 0 | 12750 | 0 | 30005 | 0 | 565659 | 0 | 0 | 0 |
| O'LEARY DANIEL MD | ||||||||||||||
| DIRECTOR, COORDINATED PRIMARY CARE, | 140156 | 0 | 16131 | 0 | 626 | 0 | 0 | 0 | 1142 | 0 | 158055 | 0 | 0 | 0 |
| ROSEN MAX P MD | ||||||||||||||
| DIRECTOR, CENTRAL MASSACHUSETTS MAGN | 146569 | 0 | 10000 | 0 | 0 | 0 | 5638 | 0 | 1068 | 0 | 163275 | 0 | 0 | 0 |
| SCHOONOVER LINDA MD | ||||||||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 98050 | 0 | 47700 | 0 | 258 | 0 | 1527 | 0 | 23323 | 0 | 170858 | 0 | 0 | 0 |
| SOAR BART MD | ||||||||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 142661 | 0 | 20813 | 0 | 60 | 0 | 6426 | 0 | 10960 | 0 | 180920 | 0 | 0 | 0 |
| SWENSON DANA | ||||||||||||||
| PRESIDENT/DIRECTOR, UMASS MEMORIAL R | 233386 | 0 | 62081 | 0 | 0 | 0 | 93570 | 0 | 20285 | 0 | 409322 | 0 | 0 | 0 |
| SZYMANSKI CANDRA | ||||||||||||||
| INTERIM PRESIDENT, DIRECTOR, MARLBOR | 175001 | 0 | 5287 | 0 | 4916 | 0 | 12469 | 0 | 2644 | 0 | 200317 | 0 | 0 | 0 |
| TOSI STEPHEN E MD | ||||||||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATI | 387109 | 0 | 185251 | 0 | 86119 | 0 | 239786 | 0 | 26110 | 0 | 924375 | 0 | 86119 | 0 |
| ZIEDONIS DOUGLAS MD | ||||||||||||||
| PRESIDENT, UMASS MEMORIAL BEHAVIORAL | 191470 | 0 | 32570 | 0 | 0 | 0 | 11625 | 0 | 27033 | 0 | 262698 | 0 | 0 | 0 |
| ALLICON KEARY T | ||||||||||||||
| TREASURER, WING MEMORIAL HOSPITAL | 142409 | 0 | 17647 | 0 | 5656 | 0 | 41287 | 0 | 20638 | 0 | 227637 | 0 | 0 | 0 |
| BRONHARD JOHN | ||||||||||||||
| INTERIM TREASURER, CENTRAL NEW ENGLA | 137271 | 0 | 12788 | 0 | 226 | 0 | 1417 | 0 | 5251 | 0 | 156953 | 0 | 0 | 0 |
| EKSTROM DEBORAH | ||||||||||||||
| PRESIDENT, COMMUNITY HEALTHLINK, INC | 191803 | 0 | 45686 | 0 | 15375 | 0 | 124399 | 0 | 27483 | 0 | 404746 | 0 | 14554 | 0 |
| FELDMANN ROBERT | ||||||||||||||
| TREASURER, UMASS MEMORIAL LABORATORI | 248070 | 0 | 66041 | 0 | 0 | 0 | 172970 | 0 | 21570 | 0 | 508651 | 0 | 0 | 0 |
| FRAKER MURIEL E ESQUIRE | ||||||||||||||
| FORMER SECRETARY UNTIL 3/27/12, UMAS | 171057 | 0 | 13810 | 0 | 0 | 0 | 81468 | 0 | 28762 | 0 | 295097 | 0 | 0 | 0 |
| MCCUE STEVEN | ||||||||||||||
| TREASURER, MARLBOROUGH HOSPITAL | 184592 | 0 | 5355 | 0 | 7308 | 0 | 21302 | 0 | 19733 | 0 | 238290 | 0 | 0 | 0 |
| O'BRIEN WILLIAM H | ||||||||||||||
| SECRETARY, UMASS MEMORIAL BEHAVIORAL | 114091 | 0 | 7162 | 0 | 0 | 0 | 50585 | 0 | 23302 | 0 | 195140 | 0 | 0 | 0 |
| OLSON JEFFREY | ||||||||||||||
| TREASURER, CLINTON HOSPITAL ASSOCIAT | 129169 | 0 | 7534 | 0 | 2587 | 0 | -1308 | 0 | 23138 | 0 | 161120 | 0 | 0 | 0 |
| SHAKMAN ALICE | ||||||||||||||
| PRESIDENT, CENTRAL MASSACHUSETTS MAG | 226982 | 0 | 43619 | 0 | 20653 | 0 | 16790 | 0 | 14359 | 0 | 322403 | 0 | 20653 | 0 |
| SMITH FRANCIS W | ||||||||||||||
| CLERK, UMM HEALTH VENTURES, INC. & U | 177149 | 0 | 13523 | 0 | 0 | 0 | 50724 | 0 | 25285 | 0 | 266681 | 0 | 0 | 0 |
| STREETER MICHELE M | ||||||||||||||
| TREASURER, UMASS MEMORIAL MEDICAL GR | 290933 | 0 | 65156 | 0 | 17241 | 0 | 171672 | 0 | 21403 | 0 | 566405 | 0 | 17241 | 0 |
| ANDERSON MILTON C | ||||||||||||||
| SR. VP, CHIEF HR OFFICER | 397857 | 0 | 102510 | 0 | 29545 | 0 | 53932 | 0 | 34137 | 0 | 617981 | 0 | 0 | 0 |
| BLUTE MICHAEL MD | ||||||||||||||
| FORMER DIRECTOR UNTIL 3/31/2012, CAN | 141719 | 0 | 0 | 0 | 0 | 0 | 121712 | 0 | 12258 | 0 | 275689 | 0 | 0 | 0 |
| BOLLAND ESHGHI KATHARINE | ||||||||||||||
| VP, DEPUTY GENERAL COUNSEL | 263476 | 0 | 75219 | 0 | 0 | 0 | 46099 | 0 | 20957 | 0 | 405751 | 0 | 0 | 0 |
| BRENCKLE GEORGE PHD | ||||||||||||||
| SR. VP, CHIEF INFORMATION OFFICER | 299172 | 0 | 53799 | 0 | 32290 | 0 | 138732 | 0 | 25440 | 0 | 549433 | 0 | 32290 | 0 |
| CYR JAMES P | ||||||||||||||
| SR VP, HEART AND VASCULAR DISEASES | 216941 | 0 | 49368 | 0 | 0 | 0 | 20862 | 0 | 20957 | 0 | 308128 | 0 | 0 | 0 |
| DALEY JENNIFER MD | ||||||||||||||
| EXECUTIVE VP, CHIEF OPERATING OFFICE | 471116 | 0 | 85618 | 0 | 36904 | 0 | 887505 | 0 | 32301 | 0 | 1513444 | 0 | 36904 | 0 |
| DIAMOND VICTORIA | ||||||||||||||
| SR. VP, OPERATIONS | 258887 | 0 | 73741 | 0 | 47362 | 0 | 146196 | 0 | 28586 | 0 | 554772 | 0 | 47362 | 0 |
| ETTINGER WALTER H MD | ||||||||||||||
| FORMER PRESIDENT - MEDICAL CENTER, U | 53421 | 0 | 0 | 0 | 75204 | 0 | 247254 | 0 | 1746 | 0 | 377625 | 0 | 70554 | 0 |
| FISHER BARBARA | ||||||||||||||
| SR. VP, OPERATIONS | 247551 | 0 | 62356 | 0 | 26121 | 0 | 118545 | 0 | 22285 | 0 | 476858 | 0 | 26121 | 0 |
| HUDLIN MARGARET MD | ||||||||||||||
| CHIEF MEDICAL OFFICER/VP PERIOPERATI | 244303 | 0 | 89477 | 0 | 0 | 0 | 12913 | 0 | 23265 | 0 | 369958 | 0 | 0 | 0 |
| HYLKA SHARON | ||||||||||||||
| SR. VP, HOSPITAL ADMIN. | 303806 | 0 | 80412 | 0 | 35958 | 0 | 263847 | 0 | 20957 | 0 | 704980 | 0 | 35958 | 0 |
| KLUGMAN ROBERT MD | ||||||||||||||
| CHIEF QUALITY OFFICER | 388171 | 0 | 76580 | 0 | 36333 | 0 | 260637 | 0 | 23509 | 0 | 785230 | 0 | 36333 | 0 |
| KRUGER NANCY | ||||||||||||||
| SR. VP, CHIEF NURSING OFFICER, UNTIL | 223233 | 0 | 51084 | 0 | 45489 | 0 | 52773 | 0 | 16097 | 0 | 388676 | 0 | 27847 | 0 |
| PHILLIPS ROBERT A MD | ||||||||||||||
| MED DIR, HEART & VASCULAR COE, UNTIL | 601362 | 0 | 172241 | 0 | 70541 | 0 | 292112 | 0 | 10048 | 0 | 1146304 | 0 | 70541 | 0 |
| RANDOLPH JOHN T | ||||||||||||||
| VP, CHIEF COMPLIANCE OFFICER | 195361 | 0 | 52777 | 0 | 0 | 0 | 148090 | 0 | 22917 | 0 | 419145 | 0 | 0 | 0 |
| LITWIN DEMETRIUS MD | ||||||||||||||
| PHYSICIAN, CHAIR OF SURGERY DEPT - M | 569695 | 0 | 138827 | 0 | 0 | 0 | 12750 | 0 | 27033 | 0 | 748305 | 0 | 0 | 0 |
| TAM STANLEY MD | ||||||||||||||
| PHYSICIAN, CHIEF OF CARDIOTHORACIC S | 540380 | 0 | 167213 | 0 | 0 | 0 | 12750 | 0 | 26362 | 0 | 746705 | 0 | 0 | 0 |
| AROUS ELIAS J MD | ||||||||||||||
| PHYSICIAN, ASSOC. CHIEF MEDICAL OFFI | 361584 | 0 | 233497 | 0 | 0 | 0 | 12750 | 0 | 24688 | 0 | 632519 | 0 | 0 | 0 |
| AYERS DAVID C MD | ||||||||||||||
| PHYSICIAN, CHAIR OF ORTHOPEDICS AND | 563206 | 0 | 31250 | 0 | 0 | 0 | 12750 | 0 | 26362 | 0 | 633568 | 0 | 0 | 0 |
| BOZORGZADEH ADEL MD | ||||||||||||||
| PHYSICIAN, CHIEF OF ORGAN TRANSPLANT | 436911 | 0 | 151688 | 0 | 0 | 0 | 12750 | 0 | 27123 | 0 | 628472 | 0 | 0 | 0 |
| CHANDLER WILLIS | ||||||||||||||
| FORMER DIRECTOR UNTIL 12/31/11, CLIN | 10273 | 0 | 0 | 0 | 25978 | 0 | 60403 | 0 | 912 | 0 | 97566 | 0 | 25978 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | SPLIT DOLLAR GROSS UP CALCULATIONS TO WALTER ETTINGER WHICH ARE TREATED AS TAXABLE COMPENSATION. | |
| PART I, LINE 4B | NAME 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 III | PART 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 $2,465,207 | SUPPLEMENTAL INFORMATION |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| MHEFA-UMASS MEMORIAL SERIES D | ||||||||
| A | 042456011 | 57586CLQ6 | 2005-08-18 | 107450000 | SEE PART VI | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES E | ||||||||
| B | 042456011 | 57586EH27 | 2009-05-22 | 30000000 | SEE PART VI | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES F | ||||||||
| C | 042456011 | 57586EH27 | 2009-05-22 | 30000000 | SEE PART VI | 0 | 0 | 0 |
| MHEFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A | ||||||||
| D | 042456011 | 2009-11-24 | 9420000 | SEE PART VI | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 110212484 | 10709415 | 5411300 | 1384731 | 3118338 | 95000000 | 2006 | 0 | 0 | 1 | 1 | |
| B | 30062453 | 335209 | 205455 | 29856998 | 2012 | 0 | 0 | 1 | 1 | 1985000 | ||
| C | 30062772 | 613645 | 118700 | 29944072 | 2012 | 0 | 0 | 1 | 1 | 1985000 | ||
| D | 9420000 | 215838 | 93458 | 9326542 | 2009 | 1 | 0 | 1 | 1 | 757000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 1 | 0 | 0.00580 | 0.00580 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 1 | |||
| C | 0 | 0 | 0 | 0 | 0 | 0 | 1 | |||
| D | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|
| A | 1 | 0 | 0 | 0 | 0 | 0 |
| B | 1 | 1 | 0 | 0 | 0 | 1 |
| C | 1 | 1 | 0 | 0 | 0 | 1 |
| D | 1 | 1 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART I - BOND ISSUES | (A) ISSUER NAME | MHEFA - UMASS MEMORIAL, SERIES D MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F MHEFA - MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL, SERIES G MDFA - UMASS MEMORIAL MASTER LEASE MDFA - UMASS MEMORIAL, SERIES H MDFA - UMASS MEMORIAL, MASTER LEASE MDFA - UMASS MEMORIAL, MASTER LEASE |
| PART I - BOND ISSUE | MHEFA - UMASS MEMORIAL, SERIES D | PART 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 ISSUE | MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E | PART 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 ISSUE | MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F | PART 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 ISSUE | MHEFA - MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A | PART I COLUMN (F) DESCRIPTION OF PURPOSE: PAY OFF HEFA POOL O LOAN, ER RENOVATIONS, EICU EQUIPMENT, CT SCAN LEASE, MAMMOGRAPHY UNIT |
| PART I - BOND ISSUE | MHEFA - UMASS MEMORIAL, SERIES G | PART I COLUMN (C ) CUSIP #: 57586EUS8 - 57586EUT6 - 57586EUU3 - 57586EUV1 - 57586EUW9 - 57586EUX7 - 57586EVE8 - 57586EUY5 - 57586EVF5 - 57586EUZ2 - 57586EVG3 - 57586EVA6 - 57586EVH1 - 57586EVB4 - 57586EVJ7 - 57586EVC2 - 57586EVD0 PART I COLUMN (F) DESCRIPTION OF PURPOSE: REFUNDING OF CENTRAL NEW ENGLAND HEALTH ALLIANCE SERIES A BOND (1993) AND MEDICAL CENTER OF CENTRAL MASSACHUSETTS, SERIES B (1992) |
| PART I - BOND ISSUE | MHEFA - UMASS MEMORIAL, SERIES H | PART I COLUMN (C ) CUSIP #: 57583UGP7 - 57583UGQ5 - 57583UGR3 - 57583UGS1 - 57583UGT9 - 57583UGU6 - 57583UGV4 - 57583UGW2 - 57583UHC5 - 57583UGX0 - 57583UGY8 - 57583UGZ5 - 57583UHA9 - 57583UHB7 PART I COLUMN (F) DESCRIPTION OF PURPOSE: PARTIAL REFUNDING OF MEDICAL CENTER VARIABLE RATE SERIES A BONDS (1998), REFUNDING IN FULL OF CENTRAL NEW ENGLAND HEALTH ALLIANCE SERIES B BONDS (1998) AND UMASS MEMORIAL SERIES C (2001). |
| PART II - PROCEEDS | DIFFERENCE BETWEEN PART I, COLUMN(E) AND PART II, LINE 3 | MHEFA - UMASS MEMORIAL, SERIES D COLUMN (E) ISSUE PRICE OF $107,450,000; ADD ISSUE PREMIUM OF $604,814, ADD INTEREST EARNED ON PROCEEDS OF $3,118,338, 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 ReferenceBondReferenceCd | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| MHEFA-UMASS MEMORIAL MASTER LEASE | |||||||
| A | 042456011 | 2005-12-07 | 10000000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | |||||||
| B | 042456011 | 2006-12-27 | 20000000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | |||||||
| C | 042456011 | 2008-04-24 | 20000000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | |||||||
| D | 042456011 | 2009-07-24 | 20000000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 10000000 | 10000000 | 10000000 | 2006 | 0 | 0 | 1 | 1 | |||
| B | 20000000 | 20717238 | 19973035 | 2007 | 0 | 0 | 1 | 1 | 5102 | 26965 | 717238 |
| C | 17904403 | 20152952 | 19970928 | 2009 | 0 | 0 | 1 | 1 | 112621 | 29072 | 152952 |
| D | 13461646 | 20024254 | 19971500 | 2010 | 0 | 0 | 1 | 1 | 278569 | 28500 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| D | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|
| A | 1 | 0 | 0 | 0 | 0 | 1 |
| B | 1 | 0 | 0 | 0 | 0 | 1 |
| C | 1 | 0 | 0 | 0 | 0 | 1 |
| D | 1 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| MHEFA-UMASS MEMORIAL SERIES G | ||||||||
| A | 042456011 | 57586EUS8 | 2010-05-27 | 60445000 | SEE PART VI | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | ||||||||
| B | 043431814 | 2010-12-09 | 20000000 | CAPITAL EQUIPMENT | 0 | 0 | 0 | |
| MHEFA-UMASS MEMORIAL SERIES H | ||||||||
| C | 043431814 | 57583UGP7 | 2011-08-10 | 90990000 | SEE PART VI | 0 | 0 | 0 |
| MDFA-UMASS MEMORIAL MASTER LEASE | ||||||||
| D | 043431814 | 2011-12-28 | 20000000 | CAPITAL EQUIPMENT | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 13845000 | 61833836 | 2463488 | 60734797 | 1099039 | 2010 | 0 | 0 | 1 | 1 | ||
| B | 8924389 | 20005301 | 209682 | 33031 | 2011 | 0 | 0 | 1 | 1 | 5301 | 19966969 | |
| C | 5090000 | 92293778 | 4458468 | 910585463 | 1235315 | 2011 | 1 | 0 | 1 | 1 | ||
| D | 5637961 | 20013504 | 260626 | 29000 | 2012 | 0 | 0 | 1 | 1 | 13504 | 19971000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| D | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|
| A | 1 | 0 | 0 | 0 | 0 | 1 |
| B | 1 | 0 | 0 | 0 | 0 | 1 |
| C | 1 | 0 | 0 | 0 | 0 | 1 |
| D | 1 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MDFA-UMASS MEMORIAL MASTER LEASE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 043431814 | IssuerEIN |
| Date Issued | 2013-08-14 | DateIssued |
| Issue Price | 20000000 | IssuePrice |
| Description Of Purpose | CAPITAL EQUIPMENT | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 268438 | AmountRetired |
| Total Proceeds | 20000280 | TotalProceeds |
| Capitalized Interest | 19167 | CapitalizedInterest |
| Issuance Costs From Proceeds | 36810 | IssuanceCostsFromProceeds |
| Working Capital Expenditures | 280 | WorkingCapitalExpenditures |
| Capital Expenditures | 13939920 | CapitalExpenditures |
| Amount Unspent | 6023270 | AmountUnspent |
| Year Of Subst Completion | 2013 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 1 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 1 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 1 | ProcToUndertkCorrectiveAction |
Schedule L IRS990ScheduleL
Loan Table LoanTable (4 entries)
| Relationship With OrganizationRelationshipWithOrganization | Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|---|
| FLOYD CONNELLY | |||||||
| FORMER EXECUTIVE DIRECTOR OF CMMIC, INC. | CSV OF LIFE INSURANCE | X | $455,570 | 251480 | 0 | 1 | 1 |
| THOMAS CUMMINGS | |||||||
| FORMER CEO OF MARLBOROUGH HOSPITAL | CSV OF LIFE INSURANCE | X | $377,630 | 200437 | 0 | 1 | 1 |
| RICHARD H SCHEFFER | |||||||
| FORMER CEO OF WING MEMORIAL CORP. | CSV OF LIFE INSURANCE | X | $26,660 | 29324 | 0 | 1 | 1 |
| WILLIAM J WILLIAMS | |||||||
| FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC. | CSV OF LIFE INSURANCE | X | $1,981,627 | 3714699 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 4195940 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (19 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ROBERT KLUGMAN MD | |||
| KEY EMPLOYEE | 209777 | RENTAL OF PROPERTY - EXPENSE | 0 |
| FERNANDO CATALINA MD | |||
| CURRENT DIRECTOR | 311508 | RENTAL OF PROPERTY - INCOME | 0 |
| MICHAEL J LYONS MD | |||
| CURRENT DIRECTOR | 311508 | RENTAL OF PROPERTY - INCOME | 0 |
| JOHN CLEMENTI | |||
| CURRENT DIRECTOR | 35324 | RENTAL OF PROPERTY - EXPENSE | 0 |
| ANTHONY J MERCADANTE | |||
| CURRENT DIRECTOR & FAMILY MEMBER OF NICHOLAS MERCADANTE | 207108 | INDEPENDENT CONTACTOR ARRANGEMENT | 0 |
| EDWARD MANZI | |||
| CURRENT DIRECTOR | 206570 | RENTAL OF PROPERTY - EXPENSE | 0 |
| ERIC W DICKSON MD | |||
| CURRENT OFFICE & DIRECTOR | 130000 | INDEPENDENT CONTRACTOR ARRANGEMENT | 0 |
| ROBERT HAVELES | |||
| CURRENT DIRECTOR | 29668 | INDEPENDENT CONTACTOR ARRANGEMENT | 0 |
| WILLIAM F SULLIVAN SR | |||
| CURRENT DIRECTOR | 254656 | INDEPENDENT CONTACTOR ARRANGEMENT | 0 |
| JOHN BUDD | |||
| CURRENT DIRECTOR | 586332 | INDEPENDENT CONTACTOR ARRANGEMENT | 0 |
| KATHLEEN HYLKA | |||
| FAMILY MEMBER OF SHARON HYLKA, KEY EMPLOYEE | 98045 | EMPLOYMENT ARRANGEMENT | 0 |
| JOANNE D'ONFRO | |||
| FAMILY MEMBER OF PAUL D'ONFRO, DIRECTOR | 51279 | EMPLOYMENT ARRANGEMENT | 0 |
| ELLEN CARLUCCI | |||
| FAMILY MEMBER OF DANIEL CARLUCCI, MD, DIRECTOR | 115593 | EMPLOYMENT ARRANGEMENT | 0 |
| CHERYL SWENSON RN | |||
| FAMILY MEMBER OF DANA SWENSON, DIRECTOR | 15911 | EMPLOYMENT ARRANGEMENT | 0 |
| KATHRYN C MAY | |||
| FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER | 41688 | EMPLOYMENT ARRANGEMENT | 0 |
| EILEEN HENRICKSON RN | |||
| FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER | 114468 | EMPLOYMENT ARRANGEMENT | 0 |
| KAREN BUCKLEY RN | |||
| FAMILY MEMBER OF MARY CARLSON, DIRECTOR | 62718 | EMPLOYMENT ARRANGEMENT | 0 |
| ELAINE GRANVILLE RN | |||
| FAMILY MEMBER OF CHERYL LAPRIORE, KEY EMPLOYEE | 64064 | EMPLOYMENT ARRANGEMENT | 0 |
| JOSHUA P SZYMANSKI | |||
| FAMILY MEMBER OF CANDRA SZYMANSKI, CURRENT OFFICER & DIRECTOR | 27048 | EMPLOYMENT ARRANGEMENT | 0 |
Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART II - LOANS FROM INTERESTED PERSONS | THE 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 PERSONS | SEVERAL 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 3831 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 159892 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV/SELLING PRICE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | THIRD PARTY USE: | Identifier |
| Return Reference | PART I, LINE 32B: | ReturnReference |
| Explanation | UMASS MEMORIAL HEALTH CARE, INC. UTILIZES THE SERVICES OF UMASS MEMORIAL FOUNDATION, INC. TO SOLICIT DONOR CONTRIBUTIONS, ON OCCASION, THE ORGANIZATION RECEIVES GIFTS OF PUBLICLY TRADED STOCK. ALL GIFTS OF PUBLICLY TRADED STOCK ARE IMMEDIATELY SOLD UPON RECEIPT THROUGH AN INVESTMENT SERVICES FIRM. | Explanation |
Schedule N IRS990ScheduleN
Liquidation Table LiquidationTable
Liquidation Detail LiquidationDetail (5 entries)
| Description Of AssetDescriptionOfAsset | Date Of DistributionDateOfDistribution | FMV Of AssetFMVOfAsset | Method Of FMV DeterminationMethodOfFMVDetermination | EINEIN | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | IRC SectionIRCSection |
|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER INC | |||||||||
| CASH | 2012-10-01 | 1107898 | BOOK VALUE | 043358564 | 306 BELMONT STREET | WORCESTER | MA | 01604 | 501(C)(3) |
| UMASS MEMORIAL MEDICAL CENTER INC | |||||||||
| NOTES RECEIVABLE | 2012-10-01 | 1139661 | BOOK VALUE | 043358564 | 306 BELMONT STREET | WORCESTER | MA | 01604 | 501(C)(3) |
| UMASS MEMORIAL MEDICAL CENTER INC | |||||||||
| FIXED ASSETS | 2012-10-01 | 2848278 | BOOK VALUE | 043358564 | 306 BELMONT STREET | WORCESTER | MA | 01604 | 501(C)(3) |
| UMASS MEMORIAL MEDICAL CENTER INC | |||||||||
| INVESTMENTS | 2012-10-01 | 6339355 | BOOK VALUE | 043358564 | 306 BELMONT STREET | WORCESTER | MA | 01604 | 501(C)(3) |
| UMASS MEMORIAL MEDICAL CENTER INC | |||||||||
| OTHER ASSETS | 2012-10-01 | 1314290 | BOOK VALUE | 043358564 | 306 BELMONT STREET | WORCESTER | MA | 01604 | 501(C)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | 1 | DirectorOfSuccessor |
| Employee Of Successor | 0 | EmployeeOfSuccessor |
| Owner Of Successor | 0 | OwnerOfSuccessor |
| Receive Compensation | 0 | ReceiveCompensation |
| Assets Distributed | 1 | AssetsDistributed |
| Required To Notify AG | 1 | RequiredToNotifyAG |
| AG Notified | 1 | AGNotified |
| Liabilities Paid | 1 | LiabilitiesPaid |
| Bonds Outstanding | 0 | BondsOutstanding |
Form990 Schedule N Part III Form990ScheduleNPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | SEVERAL OF THE DIRECTORS OF THE ORGANIZATION ARE ALREADY OFFICERS AND/OR DIRECTORS OF THE TRANSFEREE ORGANIZATION, BOTH ORGANIZATIONS ARE INCLUDED IN THIS GROUP RETURN - GROUP EXEMPTION #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 DOCUMENTS | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DISCLOSURE 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 6 | THERE ARE NO CLASSES OF DIRECTORS. THE VOTING RIGHTS OF EACH MEMBER'S BOARD IS ABSOLUTE. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MAJORITY OF ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (WHICH IS ALSO WITHIN THE CONSOLIDATED GROUP) THAT ELECTS THE BOARD OF TRUSTEES. THERE ARE NO CLASSES OF TRUSTEES. THE MAJORITY OF THE ENTITIES RESERVE TO THE MEMBER THE POWER TO REMOVE TRUSTEES, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MAJORITY OF THE ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (WHICH IS ALSO WITHIN THE CONSOLIDATED GROUP) WITH THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ENTITY, WHICH IS EXERCISED BY THAT MEMBER'S BOARD OF TRUSTEES. THERE ARE NO CLASSES OF TRUSTEES OR MEMBERS. THUS, THE VOTING RIGHTS OF A MEMBER BOARD ARE ABSOLUTE. GENERALLY, THE SOLE MEMBER OF EACH ENTITY RESERVES THE POWER TO APPROVE MAJOR TRANSACTIONS; TO MERGE, CONSOLIDATE OR LIQUIDATE THE CORPORATION'S ASSETS; TO ADOPT ANNUAL OPERATING AND CAPITAL BUDGETS AND AMENDMENTS; TO ENTER INTO LOAN AGREEMENTS AND/OR GUARANTEES; TO APPOINT AND/OR ELECT THE PRESIDENT AND/OR CEO; TO ELECT AND/OR APPOINT AND REMOVE TRUSTEES, FILL VACANCIES, TO INCREASE OR DECREASE THE SIZE OF THE BOARD; AND TO APPROVE UNBUDGETED EXPENDITURES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | SECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD. THE COMPLIANCE COMMITTEE OF THE BOARD REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990, INCLUDING THE ABOVE SCHEDULES AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL. THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990. | |
| FORM 990, PART VI, SECTION B, LINE 12C | PAGE 6 SECTION B. POLICIES LINE 12C: THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS AND MANAGEMENT TO COMPLETE ANNUAL DISCLOSURE STATEMENTS AND, TO UPDATE THESE DISCLOSURE STATEMENTS FOR SIGNIFICANT CHANGES IN THEIR OUTSIDE GOVERNANCE AND PROFESSIONAL ACTIVITIES OR, FINANCIAL RELATIONSHIPS AS APPROPRIATE. ADDITIONALLY, ALL TRANSACTIONS INVOLVING BOARD MEMBERS OR MANAGEMENT AND THE ORGANIZATION ARE REQUIRED TO BE APPROVED BY THE COMPLIANCE COMMITTEE OF THE BOARD AND, THERE IS ACTIVE MONITORING AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH DECISIONS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | PAGE 6 SECTION B. POLICIES LINE 15B: AT UMASS MEMORIAL, ALL COMPENSATION MATTERS FOR THE CEO AND SENIOR EXECUTIVES THROUGHOUT THE SYSTEM (INCLUDING ALL "DISQUALIFIED PERSONS") ARE GOVERNED AND OVERSEEN BY THE BOARD OF TRUSTEES OF THE PARENT. THE BOARD APPROVED A COMPENSATION PHILOSOPHY THAT GOVERNS ALL SUCH DECISIONS. THE PHILOSOPHY INCLUDES THE OBJECTIVES OF THE PROGRAM, COMPONENTS OF EXECUTIVE COMPENSATION, THE RELEVANT MARKET, POSITIONING IN THE MARKET, FACTORS CONSIDERED IN SETTING EXECUTIVE COMPENSATION AND THE IMPORTANCE OF TYING SUCH COMPENSATION TO PERFORMANCE. THE BOARD ESTABLISHED A COMPENSATION COMMITTEE, MADE UP OF DISINTERESTED TRUSTEES, WHO ARE GIVEN THE AUTHORITY TO ESTABLISH COMPENSATION FOR ALL SENIOR EXECUTIVES, WITHIN THE PARAMETERS OF THE PHILOSOPHY, AND WITH FULL AND COPMLETE REPORTING TO THE FULL BOARD. THE COMPENSATION COMMITTEE PERFORMS ITS WORK PURSUANT TO ITS CHARTER AND A COMPENSATION POLICY THAT ESTABLISHES THE PROCESS THE COMMITTEE WILL FOLLOW IN REVIEWING AND APPROVING EXECUTIVE COMPENSATION EACH YEAR. THE COMMITTEE ENSURES THAT ITS PROCESS MEETS THE REBUTABLE PRESUMPTION OF REASONABLENESS ESTABLISHED BY THE IRS. IN ORDER TO ASSIST THE COMMITTEE IN ITS RESPONSIBILITIES, THE COMPENSATION COMMITTEE HIRES INDEPENDENT, OUTSIDE COMPENSATION CONSULTANTS TO ADVISE THE COMMITTEE AND THE BOARD ON THE REASONABLENESS OF OVERALL EXECUTIVE COMPENSATION PROGRAM, INCLUDING COMPENSATION OF THE SPECIFIC EXECUTIVES. THESE CONSULTANTS REPORT DIRECTLY TO THE COMMITTEE AND NOT TO MANAGEMENT. THE COMMITTEE WORKS WITH THESE CONSULTANTS, AND WITH LEGAL COUNSEL, TO ENSURE THAT ALL COMPENSATION PAID, AS WELL AS THE PROCESS FOLLOWED TO DETERMINE SUCH COMPENSATION, IS REASONABLE, MEETS ALL REGULATORY REQUIREMENTS AND IS COMPETITIVE WITH THE RELEVANT MARKET. | |
| FORM 990, PART VI, SECTION C, LINE 19 | PAGE 6: LINE 19 UMASS MEMORIAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AS REQUIRED BY APPLICABLE STATE AND FEDERAL LAWS, AND BY REQUEST ON A CASE-BY-CASE BASIS. | |
| PAGE 8 PART VII SECTION B. INDEPENDENT CONTRACTORS - DESCRIPTION OF SERVICE | DESCRIPTION OF SERVICES FOOTNOTE A - SPECIALTY TRADE CONTRACTORS: SUBCONTRACTS TO A VARIETY OF EXHIBIT AND MARKETING SERVICES INCLUDING BUT NOT LIMITED TO: GENERAL CONSULTATION, COST OF MATERIALS AND SUPPLIES, DESIGN, CONSTRUCTION, LABORERS. THIS VENDOR MAY ALSO SUPPLY THEIR OWN LABORERS AS OPPOSED TO SUBCONTRACT. | |
| FORM 990, PART XI, LINE 9: | NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 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 ORGANIZATIONS | THE 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: 9/30/2012 | GROUP RETURN |
| SCHEDULE H, PART VI - SUPPLEMENTAL INFORMATION - CONTINUED | MARLBOROUGH HOSPITAL: BETWEEN 2000 AND 2011, MARLBOROUGH EXPERIENCED THE GREATEST POPULATION INCREASED FROM 36,255 TO 38,087 (5.1%), NEARLY TWICE AS LARGE OF A PERCENT CHANGE AT THE STATE LEVEL (2.6%). HUDSON'S POPULATION ALSO EXCEEDED THE STATE'S POPULATION AT 4.0%. IN TERMS OF AGE DISTRIBUTION, MOST OF MARLBOROUGH'S POPULATION WAS BETWEEN THE AGES OF 25 TO 44 YEARS OLD (32.4%) WHILE HUDSON'S POPULATION HAD THE GREATEST PERCENT BETWEEN 45 TO 64 YEARS OLD (29.7%). QUANTITATIVE DATA ALSO ILLUSTRATE THAT JUST OVER THREE-FOURTHS OF THE MASSACHUSETTS POPULATION IS WHITE (76.9%) WHICH WAS LARGELY CONSISTENT WITH MARLBOROUGH (79.2%). BOTH AT THE STATE LEVEL AND IN MARLBOROUGH, THE HISPANIC POPULATION WAS THE NEXT LARGEST RACIAL/ETHNIC GROUP (9.3% AND 9.2%, RESPECTIVELY). HUDSON'S POPULATION FOLLOWED A SIMILAR PATTERN, THE PROPORTION OF ITS POPULATION THAT IDENTIFIED AS WHITE WAS EVEN LARGER (90.5%). ENGLISH, PORTUGUESE AND SPANISH ARE THE PREDOMINANT LANGUAGE FOR THE COMMUNITIES THE HOSPITAL SERVES. WING MEMORIAL HOSPITAL: THE COMMUNITY WING MEMORIAL HOSPITAL AND MEDICAL CENTERS SERVES INCLUDES 17 TOWNS IN HAMPDEN, WORCESTER AND HAMPSHIRE COUNTIES: AGAWAM, BELCHERTOWN, BRIMFIELD, CHICOPEE, EAST LONGMEADOW, HAMPDEN, HOLLAND, LONGMEADOW, LUDLOW, MONSON, PALMER, SPRINGFIELD, WALES, WARE, WARREN, WEST BROOKFIELD AND WILBRAHAM. THE TOWNS THAT MAKE UP THE PRIMARY SERVICE AREA INCLUDE: BELCHERTOWN, LUDLOW, MONSON, PALMER, WARREN AND WILBRAHAM. THE TOWNS THAT MAKE UP THE SECONDARY SERVICE AREA INCLUDE: BRIMFIELD, GRANBY, HAMPDEN, WALES AND WARE. TARGET POPULATIONS FOR WING MEMORIAL'S COMMUNITY BENEFITS INITIATIVES FOCUS ON MEDICALLY-UNDERSERVED AND VULNERABLE GROUPS OF ALL AGES IN WING MEMORIAL'S SERVICE AREA. THE MOST VULNERABLE POPULATIONS INCLUDE CHILDREN, ELDERS, INDIVIDUALS WHO ARE OBESE/OVERWEIGHT, THOSE LIVING IN POVERTY, AND THE UNDERINSURED/UNINSURED. CLINTON HOSPITAL ASSOCIATION: TARGET POPULATIONS FOR CLINTON HOSPITAL'S COMMUNITY BENEFITS INITIATIVES ARE IDENTIFIED THROUGH A COMMUNITY INPUT AND PLANNING PROCESS, COLLABORATIVE EFFORTS WITH A BROAD ARRAY OF STAKEHOLDERS, AND THE DEVELOPMENT OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHA) WHICH IS CONDUCTED EVERY THREE YEARS. CLINTON HOSPITAL COLLABORATES WITH THE COMMUNITY HEALTH NETWORK AREA 9 (CHNA 9); A LOCAL COALITION OF PUBLIC, NON-PROFIT, AND PRIVATE SECTORS WORKING TOGETHER TO BUILD HEALTHIER COMMUNITIES IN MASSACHUSETTS THROUGH COMMUNITY-BASED PREVENTION PLANNING AND HEALTH PROMOTION. OTHER PARTNERS INCLUDE KEY STAKEHOLDERS SUCH AS: RESIDENTS, CONSUMERS, COALITIONS, COMMUNITIES OF FAITH, BUSINESSES, SCHOOLS, HEALTH AND HUMAN SERVICE ORGANIZATIONS AND LOCAL AND STATE GOVERNMENTS. OUR TARGET POPULATIONS FOCUS ON MEDICALLY-UNDERSERVED AND VULNERABLE GROUPS OF ALL AGES, AS FOLLOWS: - ELDERLY - YOUTH/CHILDREN - POPULATIONS LIVING IN POVERTY - UNDERSERVED/UNINSURED - ETHNIC AND LINGUISTIC MINORITIES CLINTON HOSPITAL PRIMARILY SERVES THE COMMUNITIES OF CLINTON, BERLIN, BOLTON, LANCASTER AND STERLING WITH POPULATIONS OF 13,606, 2,866, 4,897, 7,582 AND 9,564 RESPECTIVELY. THE POPULATION OF THE TOTAL SERVICE AREA IS 36,759. CLINTON HAS A POPULATION OF 13,606. THE MAJORITY OF CLINTON RESIDENTS ARE WHITE NON-HISPANIC (84%), FOLLOWED BY HISPANIC (11.6%) AND BLACK NON-HISPANIC (1.80%). THE CLINTON HOSPITAL SERVICE AREA IS ALSO PRIMARILY WHITE NON-HISPANIC (88%), FOLLOWED BY HISPANIC (6.4%), AND BLACK NON-HISPANIC (2.8%). CLINTON HOSPITAL'S COMMUNITY BENEFITS PLAN FOCUSES ON THE NEEDS OF CLINTON DUE TO ITS LARGE CONCENTRATION OF DIVERSE, VULNERABLE POPULATIONS. | COMMUNITY INFORMATION - CONTINUED FROM SCHEDULE H |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL FOUNDATION INC | ||||||||||
| 333 SOUTH STREET | SHREWSBURY | MA | 01545 | 043108190 | FUNDRAISING SUPPORT | MA | 501(C)(3) | 11C | N/A | 0 |
| HEALTH ALLIANCE REALTY CORPORATION | ||||||||||
| 60 HOSPITAL ROAD | LEOMINSTER | MA | 01473 | 042560754 | REAL ESTATE MANAGEMENT | MA | 501(C)(3) | N/A | N/A | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP | |||||||||||||||
| ONE BIOTECH PARK 355 PLANTATION ST | WORCESTER | MA | 01605 | 043530755 | INVESTMENT MANAGEMENT | MA | N/A | EXCLUDED 514 | 42700567 | 424244029 | 0 | -$423 | 1 | 1.00000 | |
| UMASS MEMORIAL MRI OF MARLBOROUGH LLC | |||||||||||||||
| 157 UNION STREET | MARLBOROUGH | MA | 01752 | 202293995 | MAGNETIC RESONANCE IMAGING | MA | RELATED | 554282 | 337933 | 0 | 0 | 0.56000 | MARLBOROUGH HOSPITAL | ||
| UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC | |||||||||||||||
| 60 HOSPITAL ROAD | LEOMINSTER | MA | 01453 | 043561571 | MAGNETIC RESONANCE IMAGING | MA | N/A | RELATED | 989029 | 1245441 | 0 | 0 | 0.60000 | ||
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD | |||||||||||||||||
| PO BOX 1051 GT | GRAND CAYMAN | CJ | 980226143 | INSURANCE | CJ | N/A | C | 6015243 | 174115169 | 1.00000 | 0 | ||||||
| MEMORIAL OFFICE CONDOMINIUM TRUST | |||||||||||||||||
| 046616900 | CONDOMINIUM ASSOCIATION | T | 484255 | 0.53690 | 0 | 306 BELMONT STREET | WORCESTER | MA | 01604 | MA | UMASS MEMORIAL MEDICAL CENTER INC | ||||||
| BIO-LAB INC | |||||||||||||||||
| 042708828 | CLINICAL LABORATORY | S | 699142 | 1059405 | 1.00000 | 0 | 215 WEST STREET | MILFORD | MA | 01757 | MA | UMASS MEMORIAL HEALTH VENTURES INC | |||||
| 116 BELMONT ST INC CO APPLETON CORP | |||||||||||||||||
| 042717865 | CONDOMINIUM ASSOCIATION | C | 465 | 97010 | 0.63040 | 0 | 57 SUFFOLK STREET | HOLYOKE | MA | 01040 | MA | UMASS MEMORIAL REALTY INC | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | ||
| L | 24387201 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL CENTER INC | ||
| B | 2091975 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| Q | 83803 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| L | 2895540 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| N | 814423 | FAIR VALUE |
| WING MEMORIAL HOSPITAL CORPORATION | ||
| Q | 300000 | FAIR VALUE |
| UMASS MEMORIAL REALTY INC | ||
| J | 4411002 | FAIR VALUE |
| UMASS MEMORIAL HEALTH VENTURES INC | ||
| P | 367632 | FAIR VALUE |
| UMASS MEMORIAL REALTY INC | ||
| P | 369228 | FAIR VALUE |
| MARLBOROUGH HOSPITAL | ||
| P | 2039339 | FAIR VALUE |
| THE CLINTON HOSPITAL ASSOCIATION | ||
| P | 1388103 | FAIR VALUE |
| WING MEMORIAL HOSPITAL CORPORATION | ||
| P | 2192554 | FAIR VALUE |
| WING MEMORIAL HOSPITAL CORPORATION | ||
| N | 94515 | FAIR VALUE |
| CENTRAL NEW ENGLAND HEALTH ALLIANCE INC | ||
| P | 3526765 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL CENTER INC | ||
| P | 145815172 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| P | 38719918 | FAIR VALUE |
| CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER INC | ||
| P | 135084 | FAIR VALUE |
| COMMUNITY HEALTHLINK INC | ||
| P | 596650 | FAIR VALUE |
| COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | ||
| P | 21365213 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL CENTER INC | ||
| C | 58695581 | FAIR VALUE |