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        <BusinessName>
          <BusinessNameLine1Txt>TAMARA LUNDI</BusinessNameLine1Txt>
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        <TitleTxt>PRESIDENT, COMMUNITY HEALTHLINK, INC</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>WILLIAM H O'BRIEN</BusinessNameLine1Txt>
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        <TitleTxt>SECRETARY, UMM BEHAVIORAL HEALTH SYSTEM, INC.</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>ALICE A SHAKMAN</BusinessNameLine1Txt>
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        <TitleTxt>SVP, CLINICAL SVCS</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>ANDREW KARSON MD</BusinessNameLine1Txt>
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        <TitleTxt>SVP, CMO-UMMMC</TitleTxt>
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        <BusinessName>
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        <TitleTxt>SVP, CHIEF HR OFFICER</TitleTxt>
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        <BusinessName>
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        <BusinessName>
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        <BusinessName>
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        <TitleTxt>SVP, SYSTEM REV CYCLE OPS &amp; CRO</TitleTxt>
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        <BusinessName>
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        <TitleTxt>VP, CHIEF CORPORATE COMPLIANCE</TitleTxt>
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        <BusinessName>
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        <BusinessName>
          <BusinessNameLine1Txt>ROBERT FELDMANN</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>ADEL BOZORGZADEH MD</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DEMETRIUS LITWIN MD</BusinessNameLine1Txt>
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        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JENNIFER D WALKER MD</BusinessNameLine1Txt>
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        <BusinessName>
          <BusinessNameLine1Txt>BARBARA FISHER</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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        <BusinessName>
          <BusinessNameLine1Txt>JOHN BRONHARD</BusinessNameLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <BusinessName>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Valet Park Am</BusinessNameLine1Txt>
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        <ExclusionAmt>5267809</ExclusionAmt>
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        <ExclusionAmt>2717139</ExclusionAmt>
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        <FundraisingAmt>25468</FundraisingAmt>
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        <FundraisingAmt>50899</FundraisingAmt>
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        <FundraisingAmt>22541</FundraisingAmt>
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        <ProgramServicesAmt>46986718</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>50669</TotalAmt>
        <ManagementAndGeneralAmt>50669</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>152953</TotalAmt>
        <ManagementAndGeneralAmt>152953</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>586775</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>8613384</ManagementAndGeneralAmt>
        <FundraisingAmt>22841</FundraisingAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>339853</ProgramServicesAmt>
        <ManagementAndGeneralAmt>465</ManagementAndGeneralAmt>
        <FundraisingAmt>19387</FundraisingAmt>
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        <ProgramServicesAmt>27604205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3519629</ManagementAndGeneralAmt>
        <FundraisingAmt>908</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>2250006</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84324</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>41072402</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51746</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>230732</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1084386</ManagementAndGeneralAmt>
        <FundraisingAmt>338</FundraisingAmt>
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        <ManagementAndGeneralAmt>812149</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>16811903</TotalAmt>
        <ProgramServicesAmt>16811903</ProgramServicesAmt>
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        <ProgramServicesAmt>92746349</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12019</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>31236319</ProgramServicesAmt>
        <ManagementAndGeneralAmt>155756</ManagementAndGeneralAmt>
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        <TotalAmt>413510134</TotalAmt>
        <ProgramServicesAmt>411832134</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1678000</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>System allocation expense</Desc>
        <TotalAmt>342699064</TotalAmt>
        <ProgramServicesAmt>160145832</ProgramServicesAmt>
        <ManagementAndGeneralAmt>181503485</ManagementAndGeneralAmt>
        <FundraisingAmt>1049747</FundraisingAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>171414550</TotalAmt>
        <ProgramServicesAmt>171414550</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Federal &amp; state income taxes</Desc>
        <TotalAmt>1508516</TotalAmt>
        <ProgramServicesAmt>1508516</ProgramServicesAmt>
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        <TotalAmt>34551127</TotalAmt>
        <ProgramServicesAmt>34204321</ProgramServicesAmt>
        <ManagementAndGeneralAmt>331129</ManagementAndGeneralAmt>
        <FundraisingAmt>15677</FundraisingAmt>
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        <ProgramServicesAmt>2586266490</ProgramServicesAmt>
        <ManagementAndGeneralAmt>247361134</ManagementAndGeneralAmt>
        <FundraisingAmt>1518299</FundraisingAmt>
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        <EOYAmt>140076163</EOYAmt>
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        <EOYAmt>316263361</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>4716897</EOYAmt>
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        <EOYAmt>222772070</EOYAmt>
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        <EOYAmt>157708</EOYAmt>
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        <EOYAmt>58488258</EOYAmt>
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        <BOYAmt>12319159</BOYAmt>
        <EOYAmt>10229655</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>1938955586</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1191440670</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>702720760</BOYAmt>
        <EOYAmt>747514916</EOYAmt>
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        <BOYAmt>23488614</BOYAmt>
        <EOYAmt>92342859</EOYAmt>
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        <EOYAmt>243879038</EOYAmt>
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        <EOYAmt>82227745</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>274555190</BOYAmt>
        <EOYAmt>520691015</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>2439359685</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>261629173</BOYAmt>
        <EOYAmt>278012682</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>263576</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>49026781</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>436821620</BOYAmt>
        <EOYAmt>419485911</EOYAmt>
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      <EscrowAccountLiabilityGrp>
        <BOYAmt>12819</BOYAmt>
        <EOYAmt>4537585</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>5641188</BOYAmt>
        <EOYAmt>48097132</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>592694669</BOYAmt>
        <EOYAmt>814634987</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1310975925</BOYAmt>
        <EOYAmt>1614058654</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>481011160</BOYAmt>
        <EOYAmt>724278713</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>96010851</BOYAmt>
        <EOYAmt>101022318</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>577022011</BOYAmt>
        <EOYAmt>825301031</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1887997936</BOYAmt>
        <EOYAmt>2439359685</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>21001445</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>9670152</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>217607423</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="19010655" softwareVersionNum="2019v5.0">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="19010655" softwareVersionNum="2019v5.0">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
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    <IRS990ScheduleC documentId="IRS990ScheduleC" softwareId="19010655" softwareVersionNum="2019v5.0">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>169880</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>169880</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <ExplanationTxt>Amounts represent portion of lobbying expenses included in membership dues paid to the following associations: MA Health and Hospital Association $61,844 American Hospital Association $45,655 Association for Behavioral Healthcare Inc. $23,696 National Association of Children's Hospitals. $20,409 American College of Emergency Physicians $11,478 340B Health $2,072 National Association of ACO's $1,500 Association of Air Medical Services $681 American College of Obstetricians &amp; Gynecologists (ACOG) $556 Massachusetts Medical Society $546 Association of American Medical Colleges $485 MA Association of Behavioral Health Systems, Inc. (MABHS) $275 American Association of Nurse Anesthetists $225 American Osteopathic Association $141 Society for Vascular Ultrasound $123 National Association of Epilepsy Centers $120 American Academy of Sleep Medicine $44 Massachusetts Coalition for the Prevention of Medical Errors $30 Total $169,880</ExplanationTxt>
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      <InclEscrowCustodialAcctLiabInd>true</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
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        <ContributionsAmt>1868081</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3945683</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>2686271</OtherExpendituresAmt>
        <EndYearBalanceAmt>84175288</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>81443759</BeginningYearBalanceAmt>
        <ContributionsAmt>-208049</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>2476373</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>2664288</OtherExpendituresAmt>
        <EndYearBalanceAmt>81047795</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>81260948</BeginningYearBalanceAmt>
        <ContributionsAmt>961201</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3556343</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>4334733</OtherExpendituresAmt>
        <EndYearBalanceAmt>81443759</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>78913132</BeginningYearBalanceAmt>
        <ContributionsAmt>3536295</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>3401567</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>4590046</OtherExpendituresAmt>
        <EndYearBalanceAmt>81260948</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>117475856</BeginningYearBalanceAmt>
        <ContributionsAmt>174883</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>5899351</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>44636958</OtherExpendituresAmt>
        <EndYearBalanceAmt>78913132</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.0</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.65</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.35</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>true</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>11708030</OtherCostOrOtherBasisAmt>
        <BookValueAmt>11708030</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>978634987</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>533583632</DepreciationAmt>
        <BookValueAmt>445051355</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>40108222</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>14034356</DepreciationAmt>
        <BookValueAmt>26073866</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>398155158</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>291429171</DepreciationAmt>
        <BookValueAmt>106725987</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>510349189</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>352393511</DepreciationAmt>
        <BookValueAmt>157955678</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>747514916</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Units in investment partnership</Desc>
        <BookValueAmt>230321652</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Funds held in escrow under bond indenture agreements</Desc>
        <BookValueAmt>13557386</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>243879038</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES</Desc>
        <BookValueAmt>103510101</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Cash Value Life Insurance</Desc>
        <BookValueAmt>5691480</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Beneficial interest in trusts</Desc>
        <BookValueAmt>71708020</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Estimated settlements with third-party payors</Desc>
        <BookValueAmt>208301916</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Security Deposits</Desc>
        <BookValueAmt>33600</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Operating lease ROU assets</Desc>
        <BookValueAmt>131263607</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other assets</Desc>
        <BookValueAmt>182291</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>520691015</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued pension and postretirement benefit obligations</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to University of Massachusetts</Desc>
        <Amt>203275381</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to related parties</Desc>
        <Amt>153476826</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Other noncurrent liabilities</Desc>
        <Amt>17610042</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated settlements with third-party payors</Desc>
        <Amt>299498453</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Operating lease ROU obligations</Desc>
        <Amt>140774285</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Self insured reserves</Desc>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>814634987</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 3a(i) Sch d, part v, line 3a(i)</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHALLIANCE-CLINTON HOSPITAL - YES Bank of America Private Wealth Management holds the Miriam Shaw Trust for HEALTHALLIANCE-CLINTON HOSPITAL Distributions are paid to HEALTHALLIANCE-CLINTON HOSPITAL. Bank of America Private Wealth Management is an unrelated organization. Bank of America Corporation holds the following Trusts for HEALTHALLIANCE-CLINTON HOSPITAL: - George Henry May Trust- Article Fourth (8) - Trust U/Will Elizabeth L. Rowan - Christine L Beck Trust Distributions are paid to HEALTHALLIANCE-CLINTON HOSPITAL. Bank of America Corporation is an unrelated organization. BANK OF AMERICA MERRILL LYNCH HOLDS THE BERNARD W DOYLE TRUST FOR HEALTHALLIANCE-CLINTON HOSPITAL. DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE-CLINTON HOSPITAL . BANK OF AMERICA MERRILL LYNCH IS AN UNRELATED ORGANIZATION. BNY MELLON WEALTH MANAGEMENT HOLDS THE FOLLOWING TRUSTS FOR HEALTHALLIANCE-CLINTON HOSPITAL: - TRUST U/WILL PART 11 WILLIAM H CROPPER - TRUST U/WILL PART 15 WILLIAM H CROPPER - TRUST U/WILL PART 18 WILLIAM H CROPPER - TRUST UNDER 2ND CODICIL OF WILL OF WILLIAM H CROPPER - TRUST UNDER 4TH CODICIL WILLIAM H CROPPER DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE-CLINTON HOSPITAL. BNY MELLON WEALTH MANAGEMENT IS AN UNRELATED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V Endowment Funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Medical Center - The Medical Center's endowment funds are the beneficial interest in the funds held by a related organization, UMass Memorial Health Care, Inc. (Parent EIN 04-3358566). 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part IV, Line 2b Explanation of escrow agreement</FormAndLineReferenceDesc>
        <ExplanationTxt>UMass Memorial Medical Center, Inc. has a custodial account of $4,537,585 related to capital accumulation accounts for executives. These funds are paid out according to the vesting dates selected by the executives (minimum of two years).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>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 taxable income ("UBTI"). Certain affiliates are taxable entities. The measurement of the amounts recorded as a provision for income taxes based upon the aforementioned approach was $433,000 and $197,000 for the years ended September 30, 2020 and 2019, respectively, and is recorded as part of supplies and other expense in the accompanying consolidated statements of operations. The Tax Cuts and Jobs Act (the "Act") was enacted on December 22, 2017. The Act impacts the System in several ways, including new excise taxes on executive compensation, increases to UBTI by the amount of certain fringe benefits for which a deduction is not allowed, changes to the net operating loss rules, repeal of the alternative minimum tax ("AMT"), and the computation of UBTI separately for each unrelated trade or business. Further, the Act reduces the U.S. federal corporate tax rate and federal corporate unrelated business income tax rate from 35% to 21%. The overall impact of the Act has not been material to the System. For the years ended September 30, 2020 and 2019, the System had approximately $14,900,000 and $11,520,000 of net operating loss ("NOL") carryforwards for federal income tax purposes primarily related to its previously discontinued laboratory outreach business. The NOL carryforwards have expiration dates from 2030 through 2035. In compliance with the Tax Cuts and Jobs Act of 2017, the federal components of the deferred tax assets were revalued from 35% to 21%. For the year ended September 30, 2020, the System believes the deferred tax assets of $997,000 will be fully utilized and recognized an income tax expense of $1,414,000 which has been recorded in supplies and other expense in the accompanying consolidated statements of operations. The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of September 30, 2020</ExplanationTxt>
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        <FAPAppAvailableOnWebsiteURLTxt>See Part VI</FAPAppAvailableOnWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>Yes, the significant health needs identified in the CHNA are a prioritized description of the significant health needs of the community. The community engagement process for the CHNA culminated with a community meeting of service providers, stakeholders and residents held at the Worcester Public Library, where CHNA key findings were presented and a prioritization process took place. This event was attended by approximately 75 people.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - UMass Memorial Medical Center. Yes, input from diverse persons who represent the community was taken into account. UMass Memorial Medical Center joined efforts with the Worcester Division of Public Health (WDPH), Fallon Health and The Coalition for a Healthy Greater Worcester which served in an advisory role in the development of its CHNA. The Director of the WDPH, UMass Memorial Vice President of Community Relations, and Fallon Health co-chaired the leadership process to develop a CHNA and Community Health Improvement Plan (CHIP) for the greater Worcester region. During the assessment process, community members were engaged in Key Informant Interviews, Focus Groups, and Community Dialogues, which allowed for community members to review and discuss a profile of the region and provide their feedback and prioritization on community health-related strengths, needs, and a vision for the future. The CHNA process gathered extensive quantitative data from federal, state and local sources for the City of Worcester, and the outlying communities of Shrewsbury, Grafton, Millbury, West Boylston, Leicester, and Holden, including a community health survey of nearly 3,000 individuals who live, work and play in Greater Worcester. Qualitative information was captured through 45 key stakeholder interviews, ten focus groups, four community forums, a strategic retreat, a community health survey conducted at multiple community events and an online survey. These sessions gathered critical community input from service providers, community leaders and neighborhood residents with an emphasis on engaging at-risk populations (e.g., Focus groups included: Hispanics/Latinos, youth, South East Asians and individuals with disabilities) as well as service providers representing fields including; behavioral health providers, health providers for elders and public health officials. The process included a Steering Committee comprised of a diverse number of stakeholders that advised and informed the CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - UMass Memorial Medical Center. UMass Memorial conducted the CHNA in collaboration with the Worcester Division of Public Health and Fallon Health. Additional partners included: Academic Health Collaborative, Worcester Division of Public Health Central MA Tobacco Free Partnership City of Worcester Clark University Coalition for a Healthy Greater Worcester Edward M. Kennedy Health Center Family Health Center of Worcester HOPE Coalition Latino Educational Institute Massachusetts Department of Public Health Muslim Community Link Regional Environmental Council of Worcester Reliant Medical Group UMass Medical School Women In Action Worcester Food Policy Council YouthConnect/Boys &amp; Girls Club of Worcester YWCA Central Massachusetts Worcester Public Schools Worcester Regional Research Bureau</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - UMass Memorial Medical Center. The CHNA was publicly announced to the community at an event attended by more than 150 community stakeholders and hosted by the Worcester City Manager, Worcester Director of Public Health (WDPH), Senior Vice President of UMass Memorial Health Care, the UMass Memorial Vice President of Community Relations and the Director of Community Relations, Fallon Health. The CHNA was additionally publicized through various venues including; in local news and communications of CHNA-8, a Healthy Communities Coalition.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - UMass Memorial Medical Center. The hospital conducted its most recent Community Health Needs Assessment in 2018 and developed its Community Benefits Strategic Implementation Strategy. The prioritization process of identified community health needs was led by the Worcester Division of Public Health, Fallon Health and the hospital Vice President of Community Benefits and included input from 75 community stakeholders. The hospital's Community Benefit Strategic Implementation Strategy aligns with the priority findings of the Community Health Needs Assessment (CHNA) and the Greater Worcester Community Health Improvement Plan (CHIP). The other needs that are not included in the CHNA/CHIP are not being addressed because they are not a part of the identified priority CHIP Domain areas and due to limited funding. Community Benefits target populations are identified through a community input and planning process including a range of focus groups, key stakeholder interviews, forums and surveys. This includes the CHNA process and the development of a Community Health Improvement Plan (CHIP) to address the Priority Areas identified in the CHNA. Priority Areas identified in the 2018 CHNA are: Mental Health, Substance Use, Chronic and Complex Conditions and Social Determinants of Health. An additional identified Priority Area is Health Equity, that is cross-cutting across each of these. UMMMC addressed these Priority Areas through the following programs and efforts in 2020: * UMass Memorial has provided ongoing support since 2008 for the Coalition for a Healthy Greater Worcester, a healthy communities coalition, that plays a leadership role in organizing CHIP Working Groups for each of the CHNA Priority Areas and in securing significant funding for community health improvement efforts such as securing a $3.5 Million Centers for Disease Control REACH grant focused on Latino health. Mental health: * Youth Mental Health Model: The Model employs a unique approach to adolescent mental health by integrating prevention and crisis intervention counselors into the milieu at community-based, youth-serving programs where nearly 100% of the youth are low-income and roughly 90% are Latino or African American. In 2020, the program served approximately 675 at-risk youth in one-on-one counseling sessions, therapeutic groups and crisis interventions through its therapeutic partner. * Worcester Addresses Childhood Trauma (Worcester ACTs): A unique, community-wide Community Health Worker (CHW) Resilient Home Visiting Program for children that have experienced or witnessed adverse childhood experiences (ACEs). As a means of reducing future violence, this intervention introduces a clinical response at the point of a trauma, as soon as possible after an incident involving police. The effort is a partnership among the Worcester Police Department (WPD), YWCA, Community Healthlink (a UMMMC mental health provider), UMass Medical School Child Trauma Center, UMMHC Child Protection Program, WDPH, and Clark University. Substance use: * Healthy Options for Prevention and Education (H.O.P.E.) Coalition Peer Leaders: A youth/adult partnership started in 2002 that addresses public health concerns affecting at-risk youth, including tobacco and alcohol use, violence and access to mental health. H.O.P.E. Peer Leaders co-chair the Youth Substance Abuse Prevention Task Force with the WDPH. * UMMMC provides medical services at the Hector Reyes House: A residential substance abuse treatment program for Latino men providing on-site medical care, cognitive behavioral therapy and job training to reduce relapse. Serves 80 men annually including returning clients receiving ongoing care. Social Determinants of Health: Access to Care: * UMMMC operates the Ronald McDonald Care Mobile Program: A mobile clinic established in 2000 providing medical and preventive dental services in 10 low income neighborhoods and 20 inner-city elementary schools in Worcester. Patients are served regardless of insurance status and assisted in enrollment into a medical and dental home and connection to social support services. The program plays a critical role in addressing the high level of tooth decay due to a lack of fluoride in the City's water supply. Due to the onset of the COVID-19 pandemic, beginning in April 2020, the Care Mobile pivoted to conducting COVID-19 education and outreach on safety protocols, proper masking and hand hygiene in neighborhoods of color most affected by the virus. * Oral Health Task Force: Is coordinated and supported by the UMMMC Care Mobile program to ensure that among task force providers, preventive dental services are delivered to at-risk children in public and charter schools. Collaborators include Worcester Public Schools, two community health centers, a community college, MDPH and a college of pharmacy. * CommunityHELP: An online technology platform to improve accessibility of community resource information and social determinants of health. A collaborative effort with Reliant Medical Group, the platform can be viewed in multiple languages and links patients with needed community resources. * Medical-Legal Partnership: A partnership with UMMMC's Legal Department and Community Legal Aid, Inc. that assists Medicaid-eligible, socially complex patients in addressing a wide array of social determinants of health needs. The program leverages pro-bono, private legal services with law firms to address multiple social factors. During the COVID pandemic, the MLP implemented remote services. The MLP staff attorney offered virtual clinic hours to each of the four clinics. In 2020, 180 referrals to legal services were made to pro-bono attorneys. * Support of Community Health Centers: To increase the capacity of two federally qualified community health centers' ability to provide primary care for vulnerable populations and address a shortage of providers, UMMMC grants a rental subsidy annually to the Family Health Center of Worcester (FHC). UMMMC's contribution in this effort equates to a minimum of $2.6 Million annually. * Health Insurance Enrollment Assistance: Is provided by our Financial Counselors to improve access to health care. About 8,500 people receive health insurance enrollment assistance each year. Chronic/complex conditions and their risk factors: * UMMMC established and co-chairs a city-wide Pediatric Asthma Home Visiting Intervention to reduce school absenteeism, hospitalizations and ED use among high risk asthmatic children in Worcester where rates of pediatric asthma-related ED visits are double that of the state. The partnership includes all Worcester Public Schools (WPS)/Head Start Programs, two community health centers and the City's Healthy Homes Office. This community/clinical linkage model utilizes trained, Community Health Workers (CHW) to address asthma triggers in the home. CHWs provide education to address medication adherence. Referrals are made to community resources and Community Legal Aid (CLA) to resolve home triggers that require landlord remediation actions. Due to the COVID-19 pandemic, beginning in March of 2020, the program discontinued in-person home visits and adapted by conducting home visits via Zoom and Facetime. * Working with WPS, UMMMC Pediatric Pulmonology Department operates AsthmaLink, a medication adherence program enrolling 85-100 students yearly that provides consultation, coordination of controller medications given by school nurses and connection to the home visiting intervention. The Pulmonology Division also provides training to school nurses, clinical providers and launched an innovative "Hospitalized Patient Intervention" which links pediatric patients admitted to the hospital to the CHW Pediatric Asthma Intervention. This intervention establishes communication with medical residents within the ED. In 2020, due to the closing of schools as a result of the COVID-19 pandemic beginning in March. CHWs assisted the Pedi-Pulmonology Department in the launch of a text-message communication system regarding medication adherence for high-risk patients. Access to Healthy Food/Hunger/Food Insecurity: UMass Memorial provides funding to key community stakeholders addressing food insecurity and access to healthy foods. These include: * The Worcester Regional Environmental Council's urban agricultural program that provides youth jobs, leadership development and produce for a Veggie Mobile that addresses food insecurity across the City. *UMMMC Community Benefits staff also serve as a member of the Worcester Food Policy Council (WFPC) Steering Committee that convenes the CHIP Access to Healthy Foods Work Group to promote healthy weight/healthy eating and improve nutrition in distressed, food insecure neighborhoods through policy. To improve access to healthy food for underserved, food desert areas the Council works on a range of issues including healthy food retail, SNAP/Healthy Incentives Program, (continued)</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - UMass Memorial Medical Center. Financial Assistance - UMassMemorial Medical Center employs a staff of Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors who are available by phone or by appointment to support patients in applying for financial assistance and resolving their medical bills. Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors provide potentially eligible patients with the appropriate methods of applying for health care coverage as listed on the Massachusetts ConnectorCare website</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>Yes, the significant health needs identified in the CHNA are a prioritized description of the significant health needs of the community. The community engagement activities for the CHNA culminated throughout five community, provider focus groups, and three community forums in the UMass Memorial HealthAlliance-Clinton Hospital's service area where information was gathered, and input was received from service providers, community leaders, and residents. The engagement process was held at the areas listed below where CHNA key findings were presented and a prioritization process took place. Approximately 100 people attended the focus groups and community forums.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - UMass Memorial - HealthAlliance-Clinton Hospital. UMass Memorial HealthAlliance-Clinton Hospital conducted comprehensive Community Health Needs Assessment (CHNA) that gathered, analyzed and documented qualitative and quantitative data. The hospital's 2018 CHNA was developed through a collaborative process involving both administrative and clinical staff at the hospital working with a diverse CHNA Advisory Group made up of health and social service providers, local public health officials, community health advocates, and other community leaders. The Advisory Committee's input and involvement was central to the CHNA and strategic plan development process informed and based on the Hospital's Community Health Improvement Plan (CHIP). Since the beginning of the assessment, more than one hundred individuals participated in key stakeholder interviews, focus groups, and community forums. Key stakeholder interviews were conducted with eighteen community leaders and staff members at UMass Memorial HealthAlliance-Clinton Hospital. Key stakeholder interviews were done to collect qualitative information from key health and social service providers, city/town officials, representatives from community organizations or advocacy groups, and other community leaders to (1) confirm and refine findings from secondary data, (2) provide community context, (3) clarify needs and priorities of the community. Five community and provider focus groups with key segments of the population and/or key types of service providers were also conducted in HealthAlliance-Clinton Hospital's service area. This activity allows for the collection of more targeted and nuanced information from segments of the population who are deemed most at-risk and the key service providers who serve these populations and are critical to community health improvement. Focus groups (1) augment findings from secondary data and key informant interviews and (2) allow for exploration of strategic and programmatic options to address identified health issues, service gaps, and/or barriers to care. Three Community Forums for the public at-large were also conducted in the towns of Fitchburg, Leominster, and Clinton. Community forums allow to capture information directly from community residents and, to some extent, representatives from local service providers or community organizations. Input is captured from residents on (1) community health needs and priorities, (2) service system gaps, (3) barriers to care across a wide array of health-related service and community resource domains (e.g., health, housing, transportation, safety, food access). Forums are critical to fulfilling a comprehensive community engagement plan and will support the development of a sound and objective health needs assessment that will be used to develop programs that reduce disparities and improve health status.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - UMass Memorial - HealthAlliance-Clinton Hospital. The Community Health Needs Assessment was conducted with input from our community partners including: Community Health Network Association 9 (CHNA9), Community Health Connections, The Joint Coalition on Health and the Montachusett Public Health Network.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - UMass Memorial - HealthAlliance-Clinton Hospital. The hospital conducted its most recent Community Health Needs Assessment (CHNA) in fiscal year 2018 and developed its Community Benefits Strategic Implementation Strategy. The CHNA included a prioritization process that identified the most pressing needs that offer opportunities to partner and leverage resources. The prioritization process was led by the Steering Committee with the support of the Hospital's staff, CHNA Advisory Committee, Patient Family Advisory Council (PFAC), other stakeholders and included input from 18 community stakeholders. The hospital focused its programs and initiatives in the following Priority Areas: 1) Health Equity, 2) Behavioral Health (mental health and substance use), 3) Chronic/Complex Conditions and Risk Factors, 4) Healthy Relationships and Domestic/Interpersonal Violence, and 5) Healthy Aging identified as a result of the hospital's latest community health assessment (2018). The hospital continues to aim their efforts on the medically-underserved and vulnerable groups of all ages, specifically targeting our outreach to low-income populations, racial/ethnic minority and indigenous populations, recent immigrants, non-English speakers, and older adults as priority populations that deserve special attention. The hospital's Community Benefit Strategic Implementation Strategy aligns with the priority findings of the Community Health Needs Assessment (CHNA) and the Community Health Network Area 9 (CHNA9) of North Central Massachusetts Community Health Improvement Plan (CHIP). UMass Memorial HealthAlliance-Clinton Hospital developed, implemented, and distributing funds in community benefits through the Determination of Needs (DoN) funding from the hospital's emergency department capital project. These funds represented a portion of the DoN funds distributed to the community through fiscal year 2020. Distribution was limited to programs that specifically address components of the hospital's 2018 community health needs assessment. The following are Community Activities / Strategies that address the identified health priorities needs were implemented during FY 2020: 1) Health Equity: * Anchor Mission: UMass Memorial HealthAlliance-Clinton Hospital works in collaboration with the system's Anchor Mission focusing on four pillars: Local Procurement, Workforce Development, Investment and Volunteerism as a means of improving the economic status, health and well-being of vulnerable, low-income populations in targeted areas. For example, a diverse Hiring Committee works with community-based, workforce organizations serving vulnerable populations. The Hospital's Community Health Director and Sr. Director of External Affairs serves on several UMass Memorial Anchor Mission Task Forces that are working with different community groups on workforce development neighborhood revitalization/housing, poverty and employee engagement. * Community Health Network Area of North Central Massachusetts (CHNA 9): As part of this statewide effort, the hospital partners with CHNA9 to develop implement and integrate community projects to effectively utilize community resources to create healthier communities through a health equity framework. The hospital's Community Health Director and Community Outreach Coordinator work in collaboration with CHNA 9 as an active steering committee member, help facilitate the north regional Community Health Improvement Plan (CHIP) process, convene community stakeholders to implement the CHIP, and review grant proposals submitted by not-for-profit community-based organizations that address the priority areas. * UMass Memorial HealthAlliance-Clinton Hospital Minority Advisory Council MAC is an active committee of only diverse community members, stakeholders, and hospital personnel who meet monthly to develop ideas and implement strategies on how to combat Institutional Racism, identify issues that affect disadvantaged, underserved populations in our communities, offering solutions to improve social determinants of health and health care experience at HealthAlliance-Clinton Hospital. Representative of the MAC, help to assist in developing recommendations to hospital's senior leadership to: o Increase awareness of health and racial inequities and impacts of social determinants o Reduce barriers to health care services and disparities in health outcomes o Promote cultural sensitivity at the Hospital, the community, and among other clinical and non-clinical partners. 2) Behavioral Health (mental health and substance use): * Opioid Task Force: HealthAlliance-Clinton Hospital formed an Opioid Task Force in response to the growing problem of opioids/substance use in the North Central MA region (Leominster, Fitchburg, Clinton, and surrounding towns). The Task Force aims to bring together healthcare providers, community leaders, patient advocates and community stakeholders to tackle the problem of substance and prescription drug abuse in the area by reducing opioid and addiction, preventing overdose deaths, and improving the well-being of our community. * DoN funds supported Aids Project Worcester Outreach program: HealthAlliance-Clinton Hospital funded supplies to support outreach efforts for the homeless, mental health, and substance use population receiving aid by APW's harm reduction specialist. * DoN funds supported Restoration Recovery Center Inc. providing 76 individuals with recovery assistance and transportation to access health care and other human services. * CHNA 9 Mental Health &amp; Behavioral Health and Substance Abuse Workgroup: The goal of this group is to improve overall mental and behavioral health and wellbeing, including preventing substance abuse, in a culturally responsive and holistic manner in the North Central region. The hospital supports these efforts by the Community Outreach Specialist co-chairing the work group. * Free Community Narcan Training a: 100 Participants learned about Opiate/Opioid overdose Education, how to effectively, and rapidly assess a person that may be overdosing, the appropriate steps to take during an overdose, such as administering Narcan, and rescue breathing and harm reduction. * Organize support groups with mental health organizations in the community to support those living with behavioral health issues and providing support for their families and caregivers. 3) Chronic/Complex Conditions and Risk Factors * WHEAT Community Cafe: Hospital supports over 500 community members access a warm nutritional meal through a feeding program at the WHEAT Community Cafe for populations living in poverty. * Hospital Financial Councilor program: Hospital Financial Councilors enroll and educate community members about existing health insurance plans, enrolling over 1,000 community members annually. * DoN funds supported several community base organizations(MOC, Growing Places, and WHEAT food insecurity programs) addressing "social determinants of community health" affected by COVID-19 pandemic providing emergency food and supplies to families who are homebound or facing economic hardships due to COVID19 pandemic. * DoN funds supported Fitchburg Public library to deliver Managing Diabetes evidence base program 4) Healthy Relationships and Domestic/Interpersonal Violence * The hospital partners with YWCA (Daybreak) displaying "Empty Place" display at each hospital campus: a virtual art exhibition which features dinner place settings representing real victims of domestic violence missing from their family's lives, educational materials and a public comment/feedback box. 5) Healthy Aging * DoN funds supported a lending assistive technology program for the hard of hearing population to allow individuals with hearing impairment enjoy community events, classes, and music. * DoN funds supported "Going steady" a nine- week Fall prevention and balance evidence base program for seniors. Other health needs that are not included in the CHNA/CHIP are not being addressed due to limited funding or resources.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - UMass Memorial HealthAlliance-Clinton Hospital, Inc.. UMass Memorial HealthAlliance-Clinton Hospital, Inc. The hospital employs a staff of Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors who are available by phone or by appointment to support patients in applying for financial assistance and resolving their medical bills. Financial Counselors, Certified Application Counselors, Customer Service Representatives and Guarantor Collectors provide potentially eligible patients with the appropriate methods of applying for health care coverage as listed on the Massachusetts ConnectorCare website.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>Yes, the significant health needs identified in the CHNA are a prioritized description of the significant health needs of the community.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Marlborough Hospital. To understand public perceptions around a range of health issues in the MetroWest region, a community health survey was developed and administered online and via paper surveys to residents throughout the 22 communities. The survey explored key health concerns of community residents, access to services, and their primary priorities for services and programming. The MetroWest community partners disseminated the survey link via their networks as well as through local media. The survey was available in English, Spanish, and Portuguese and was advertised through language-specific channels as well. A total of 799 respondents were included in the final sample. The majority (78.4%) of survey respondents were female and over half (55.5%) were age 50 years or older. One quarter (25.2%) of respondents self-identified as a minority race/ethnicity, including 13.1% who identified as Hispanic or Latino.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Marlborough Hospital. The CHNA was completed in conjunction with the MetroWest Medical Center.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Marlborough Hospital. The CHNA was completed in conjunction with MetroWest Health Foundation, MetroWest Medical Center, Hudson Health Department, and Framingham Health Department and CHNA7</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Marlborough Hospital. UMass Memorial - Marlborough Hospital, FY2020 Community Benefits target populations are identified through a community input and planning process including a range of focus groups, key stakeholder interviews, forums and surveys. This includes the Community Health Needs Assessment (CHA) process and the development of a Community Health Improvement Plan (CHIP) to address the Priority Areas identified in the CHA. Priority Areas identified in the 2019 CHA are: Mental Health, Substance Abuse, Healthy Aging, Access to Health Care and Health and Wellness. Due to the Covid-19 pandemic, most of the Community Benefits outreach programs were canceled or significantly reduced. Marlborough Hospital addressed these Priority Areas through the following programs and efforts in 2020: Build Awareness of Mental Health Issues * Provided conference use for numerous community partners for training programs and educational programs. Community partners included National Association for Mental Illness (NAMI) and Human Services Coalition Access to Care * Assisted residents of the community in enrolling in Mass Health or other health insurance programs. Assistance is offered in English, Spanish and Portuguese. * Improved access to care by providing medical services to elders. Enrolled 429 people into the appropriate health plans. Promote Health and Wellness * Boys &amp; Girls Club - Basketball team sponsorship-$250 * Supported Baseball and Softball program - $250 Covid-19 support to the community Throughout the pandemic, Marlborough Hospital has provided information to residents, non-profit organizations, human services agencies, municipalities, business leaders, elected officials, the press and residents of the communities the hospitals serve regarding Covid, testing, vaccine and other pertinent health information. Hospital leadership held daily briefings during the first surge and community stakeholders were invited to participate. Regular system and hospital Town Hall meeting were held to keep staff and community leaders informed. Anchor mission UMass Memorial's Anchor Mission focuses on four pillars: Local Procurement, Workforce Development and Investment as a means of improving the economic status, health and well-being of vulnerable, low-income populations in targeted areas. For example, a diverse Hiring Committee works with community-based, workforce organizations serving vulnerable populations. We have several Anchor Mission Task Forces that are working with different community groups on workforce development neighborhood revitalization/housing, poverty and employee engagement.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Marlborough Hospital. Financial Assistance - Marlborough Hospital employs Financial Counselors who are available by phone or by appointment to support patients in applying for financial assistance and for help resolving their medical bills. Financial Counselors provide potentially eligible patients with the appropriate methods of applying for health care coverage as listed on the Massachusetts ConnectorCare website.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>4</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>UMASS MEMORIAL MED CENTER (LAB SVCS)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>BIOTECH ONE 365 PLANTATION STREET</AddressLine1Txt>
            <CityNm>WORCESTER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01605</ZIPCd>
          </USAddress>
          <FacilityTxt>SATELLITE - LAB SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>UMASS MEMORIAL MED CENTER (PATHOLOGY)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>BIOTECH THREE ONE INNOVATION DRIVE</AddressLine1Txt>
            <CityNm>WORCESTER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01605</ZIPCd>
          </USAddress>
          <FacilityTxt>SATELLITE - PATHOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>UMASS MEMORIAL MED CENTER AMBULANCE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23 WELLS STREET</AddressLine1Txt>
            <CityNm>WORCESTER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01604</ZIPCd>
          </USAddress>
          <FacilityTxt>SATELLITE - AMBULATORY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>UMASS MEMORIAL MED CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 PROVIDENCE STREET</AddressLine1Txt>
            <CityNm>WORCESTER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01604</ZIPCd>
          </USAddress>
          <FacilityTxt>SATELLITE - AMBULATORY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I RESEARCH EXPENSES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF RESEARCH EXPENSES FOR FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS BEING REPORTED BY UMASS MEMORIAL HEALTH CARE IS LOW SINCE THESE COSTS ARE SUPPORTED BY THE UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL. THE MEDICAL SCHOOL IS CLOSELY ASSOCIATED WITH UMASS MEMORIAL HEALTH CARE AND PROVIDES A SIGNIFICANT NUMBER OF COMMUNITY BASED PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 SCH H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL THREE HOSPITALS FILE INDIVIDUAL COMMUNITY BENEFIT REPORTS WITH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Schedule H, Part III, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>UMASS BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FIRST, NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. SECOND, BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THIRD, IRS REVENUE RULING 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section A Schedule H, Part V Section A</FormAndLineReferenceDesc>
        <ExplanationTxt>Clinton Hospital 201 Highland Street, Clinton MA 01510 is the second campus of the UMass Memorial HealthAlliance-Clinton Hospital, Inc. The merger of Clinton Hospital Association with HealthAlliance Hospital became effective 10/1/2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt Expense has been excluded from Financial Assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 cont. 2: UMass Memorial Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>* UMMMC Community Relations staff is also part of the Food is Medicine Massachusetts State Steering Committee, an effort being led by the Harvard University Center for Health Law and Policy Innovation and Community Servings that developed a strategic plan to find ways to increase access to medically-tailored foods and improve the availability of prepared nutritious food for economically-disadvantaged patients being discharged from a hospital. Findings and the full State Plan were published and shared with key stakeholders in 2019. * UMMMC's Maternal-Fetal Medicine and Community Relations departments partnered with the Worcester Division of Public Health to pilot a new, Community Health Worker (CHW) intervention in Maternal-Fetal Medicine to address at-risk pregnancies among Latino women and vulnerable populations; specifically focused on healthy eating and nutrition among at-risk pregnant and lactating women. * Anchor Mission: UMass Memorial's Anchor Mission focuses on four pillars: Local Procurement, Workforce Development and Investment as a means of improving the economic status, health and well-being of vulnerable, low-income populations in targeted areas. For example, a diverse Hiring Committee works with community-based, workforce organizations serving vulnerable populations. We have several Anchor Mission Task Forces that are working with different community groups on workforce development neighborhood revitalization/housing, poverty and employee engagement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a Line 16c - FAP Website - UMASS MEMORIAL MEDICAL CENTER, INC</FormAndLineReferenceDesc>
        <ExplanationTxt>The FAP, the FAP application form, and a plain language summary of the FAP were widely available on the following website for UMASS MEMORIAL MEDICAL CENTER, INC: https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/patients-visitors/patient-resources/financial-assistance-and-credit-and-collection-policy</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a Line 16c - UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>The FAP, the FAP application form, and a plain language summary of the FAP were widely available on the following website for UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL, INC: HTTPS://WWW.UMASSMEMORIALHEALTHCARE.ORG/HEALTHALLIANCE-CLINTON-HOSPITAL/PATIENTSVISITORS/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE-AND-CREDIT-AND-COLLECTION-POLICY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a Line 16c - FAP Website - MARLBOROUGH HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>The FAP, the FAP application form, and a plain language summary of the FAP were widely available on the following website for MARLBOROUGH HOSPITAL: HTTPS://WWW.UMASSMEMORIALHEALTHCARE.ORG/MARLBOROUGH-HOSPITAL/PATIENTSVISITORS/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE-AND-CREDIT-AND-COLLECTION-POLICY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 cont. 1: UMass Memorial Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>minimum wage, and expanding urban agriculture opportunities. * UMMMC Community Benefits staff is also part of the Food is Medicine Massachusetts State Planning effort being led by the Harvard University Center for Health Law and Policy Innovation and Community Servings that developed a strategic plan to find ways to increase access to medically-tailored foods and improve the availability of prepared nutritious food for economically-disadvantaged patients being discharged from a hospital. In 2020, Community Benefits staff continued to serve on the FIMMA Steering, Provider Education, Older Adult and other FIMMA Committees. * UMMMC's Maternal-Fetal Medicine and Community Relations departments partner with the Worcester Division of Public Health in a Community Health Worker (CHW) intervention in Maternal-Fetal Medicine to address at-risk pregnancies among Latino women and vulnerable populations. The funding for this intervention was provided by the Centers for Disease Control and Prevention (CDC) REACH Grant, to support a CHW to address breastfeeding and linkages to community supports for social determinants of health and nutrition among at-risk pregnant and lactating women. Due to the COVID-19 pandemic, beginning in March of 2020, the program discontinued in-person home visits and adapted by conducting home visits via Zoom and Facetime. * Anchor Mission: UMass Memorial Health Care system-wide Anchor Mission was formally adopted in 2018 and continued with a strong focus in 2020 to leverage the assets of the organization to address social determinants of health. UMass Memorial's Anchor Mission focuses on four pillars: Local Procurement, Workforce Development, Investment and Volunteerism as a means of improving the economic status, health and well-being of vulnerable, low-income populations in targeted areas. For example, a diverse Hiring Committee works with community-based, workforce organizations serving vulnerable populations. These include unemployed adults and youth, English as a Second Language (ESL) learners, teen mothers, those seeking General Education Development (GED) and newly arrived immigrants/refugees to identify barriers to viable employment and growth opportunities to formalize a hiring pipeline. The Anchor Mission Procurement Committee is working on local purchasing processes and identifying local vendor contract opportunities and the Investment Committee has allocated $4.0 Million in hospital investment funds to address community issues such as housing needs for chronically-homeless through a collaborative with bankers, philanthropic organizations and City Government/Housing Authority. Several brick and mortar neighborhood revitalization were granted including the Worcester East Side CDC in its pre-construction planning of a tiny homes project for homeless elders. * COVID-19: In response to the onset of the COVID-19 pandemic, UMass Memorial developed and implemented a multi-pronged, community-based approach to combat COVID-19 within neighborhoods targeting populations most at-risk. Beginning with the COVID-19 "Feet on the Street" outreach, the hospital's Care Mobile staff were swiftly redeployed to provide education and demonstration on handwashing, proper mask use, answers to COVID-19 questions in Spanish and English and written materials provided in six languages. The intervention distributed face masks, sanitizer and information on critical resources including food, housing and evictions, access to flu shots, voter registration and U.S. Census. * In August 2020, UMass Memorial was asked to lead the Massachusetts' 'Stop the Spread' COVID-19 testing in Worcester's in high positivity areas. The hospital developed and implemented a COVID-19 testing operation able to; function effectively out- or indoors as weather changed, rotate events into various hot-spot neighborhoods of color and vulnerability based on data, provide same-day set up and break down and function with minimal or no WiFi or access to power, successfully manage unpredictable volumes while meeting the language needs of Worcester's diverse populations. Strategies included utilizing neighborhood hot-spot/positivity data, PDSAs focused on efficiency, and a robust partnership effort with multiple community organizations including public health. In November 2020, the program moved indoors into a central location with easy access to minimize transportation barriers. Most importantly, our COVID-19 neighborhood-based intervention was led by our Health Equity initiative, which has community stakeholders and our partner the Worcester Division of Health and Human Services analyzing the data and providing input on direction.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7f Community Benefit Expense as a Percent of Total Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>The Schedule H instructions provide guidance for group return filers to report the "total expense" denominator for purposes of determining the percent of total expense for column (f) is the amount reported on Form 990, Part IX, line 25, column (A), of the group return. Therefore, Schedule H column F of this group return is presenting the consolidated total from the group statement of functional expenses, instead of including the functional expenses of hospital facilities only arriving at 7.43%. However, the more accurate representation of community benefit expenses for the hospitals would be based on using the functional expenses of the hospital facilities only in the denominator, which would be 9.31%</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>Not applicable</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>The cost to charge ratio is the costing methodology used to calculate the amounts reported in each line in Part 1, Line 7</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>UMass Memorial Healthcare recognizes Community Building activities as being a part of the "social determinants of health" that impact the health of the community. We invest in youth workforce development for at-risk youth. Programs are based on our Community Benefits Mission which was recommended by a Community Benefits Advisory Committee and draws inspiration from the World Health Organization's broad definition of health, as a "as state of complete, physical, mental and social well-being and not merely the absence of disease." By adopting this definition, UMass Memorial Medical Center has expanded its strategy to include the social and economic obstacles that prevent people from achieving optimal health. All of our Community Building activities are the result of an identified need and engage the community. They include collaborative efforts, advocacy activities and partnerships that engage a broad array of community stakeholders in addressing these unmet social determinants of health. Community Building activity examples include: funding and promoting workforce and health career development opportunities for inner-city youth. The hospital additionally provides community support through efforts including participation in the United Way activities and others.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>On October 1, 2018 , the System adopted ASU 2014-09 Revenue from Contracts with Customers and all subsequent amendments to the ASU (collectively, "ASC 606") which outlines a five-step framework that supersedes the principles for recognizing revenue (previously "ASC 605") and eliminated industry-specific guidance. This framework ensures that entities appropriately reflect the consideration to which they expect to be entitled in exchange for goods and services by allocating transaction price to identified performance obligations and recognizing revenue as performance obligations are satisfied. Qualitative and quantitative disclosures are required to enable users of the financial statements to understand the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. The System adopted ASC 606 using a modified retrospective approach. The presentation and disclosure of revenue primarily related to uninsured or underinsured patients changed because of the adoption of ASC 606. Under the provisions of ASC 606, the estimated uncollectible amounts due from self-pay patients, as well as co-pays and co-insurance obligations of patients with insurance, generally considered implicit price concessions, are required to be reflected as a direct reduction to patient service revenue as opposed to the previous reporting as a provision for doubtful accounts. As a result, for the year ended September 30, 2020, the System recorded approximately $46,393,000 of implicit price concessions as a direct reduction of patient service revenue that would have previously been recorded as provision for doubtful accounts and $48,365,000 as a direct reduction of accounts receivable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on historical experience, a significant portion of the System's uninsured patients will likely be unable or unwilling to pay for the services provided and are considered an implicit price concession. Estimates of implicit price concessions are determined based on historical collection experience with these classes of patients using a portfolio approach as a practical expedient to account for patient contracts as collective groups rather than individually. The financial statement effects of using this practical expedient are not materially different from an individual contract approach. Changes in the economy, unemployment rates, the number of uninsured and underinsured patients, the volume of patients through emergency departments, the increased burden of co-pays, co-insurance amounts and deductibles to be made by patients with insurance, and business practices related to collection efforts are some of the factors that can impact collection trends and the estimation process. Although our financial assistance policies and procedures make every effort to identify those patients who are eligible for financial assistance before the billing process begins, often it is not possible to make an appropriate determination until after the billing and collection collection cycle has commenced. The rationale for including implicit price concession amounts amounts in community benefits would be to account for those patients who were classified as an implicit price concession, but would have qualified for financial assistance if sufficient information had been available to make a determination of their eligibility.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Notes to Consolidated Financial Statements, page 18 of Audited Financial Statements: For patient accounts receivable after adoption of ASU 2014-09 on October 1, 2018, the estimated uncollectible amounts are generally considered implicit price concessions that are a direct reduction to patient accounts receivable rather than allowance for doubtful accounts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>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&amp;R CHARGES TIMES OUTPATIENT COST TO CHARGE RATIO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>A. Exemption From Self-Pay Billing and Collection Action- UMMHC will not initiate Self-Pay billing and collection activity in the following instances: 1. Upon sufficient proof that a patient is a recipient of Emergency Aid to the Elderly, Disabled and Children (EAEDC), or enrolled in MassHealth, Health Safety Net, the Children's Medical Security Plan whose family income is equal or less than 300% of the FPL or Low Income Patient designation with the exception of Dental-Only Low Income patients as determined by the office of Medicaid with the exception of co-pays and deductibles required under the Program of Assistance. 2. 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. 3. Medical Hardship bills that exceed the medical hardship contribution. 4. Medical Hardship contributions that remains outstanding during a patient's MassHealth or Low Income Patient eligibility period. 5. Unless UMMHC has checked the EVS system to determine if the patient has filed an application for MassHealth. 6. For Partial Health Safety Net eligible patients, with the exception of any deductibles required. 7. UMMHC 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. 8. UMMHC may bill a Low Income Patient at their request in order to allow the patient to meet the required CommonHealth One-Time Deductible</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- UMASS MEMORIAL MEDICAL CENTER, INC: Line 16a URL: See Part VI; - UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL, INC.: Line 16a URL: See Part VI; - MARLBOROUGH HOSPITAL: Line 16a URL: See Part Vi;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- UMASS MEMORIAL MEDICAL CENTER, INC: Line 16b URL: See Part VI; - UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL, INC.: Line 16b URL: See Part VI; - MARLBOROUGH HOSPITAL: Line 16b URL: See Part Vi;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- UMASS MEMORIAL MEDICAL CENTER, INC: Line 16c URL: See Part VI; - UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL, INC.: Line 16c URL: See Part VI; - MARLBOROUGH HOSPITAL: Line 16c URL: See Part Vi;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>UMass Memorial Medical Center: In addition to conducting the Community Health Needs Assessment (CHNA), UMass Memorial Medical Center assesses the health care needs of the community it serves by working closely with the Worcester Division of Public Health on an on-going basis. Community Benefits staff hold leadership roles and/or participate in multiple coalitions and efforts focused on addressing priority areas identified in the CHNA and aligned with strategies of the Community Health Improvement Plan (CHIP). In 2018, the Vice President of Community Relations and the Community Health Manager continued to serve as members of the Steering Committee of the Coalition for a Healthy Greater Worcester, a healthy communities coalition that coordinates and provides accountability for CHIP Priority Area Working Groups, participates in the CHIP Access to Care group, the CHIP Data Committee and a subcommittee for oversight of UMass Memorial Medical Center Determination of Needs (DoN) funds distribution. UMass Memorial Medical Center completed its CHNA by assembling a diverse group of community stakeholders that include, but are not limited to, members of health and human service organizations, philanthropy, communities of color, neighborhood residents and the Worcester Division of Public Health as part of the group that assisted and guided the assessment process. The hospital's Community Benefits Strategic Implementation Plan is aligned with the CHIP. The other needs that are not included in the CHNA/CHIP are not being addressed because they are not a part of the nine, identified priority CHIP Domain areas and due to limited funding. The following strategies were conducted to complete the assessment: * Conducted key informant interviews and focus groups with community-based organizations and residents * Conducted outreach efforts to medically-underserved populations and convene meetings with neighborhood/community groups * Reviewed primary and secondary data * Conducted online community survey * Organized community forums to share findings and release of final report * Organized task forces for further action to identify priority areas The following sources inform and enhance our efforts to identify priorities and unmet needs: * U.S. Census 2010 * U.S. Census American Fact Finder * 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 * 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 and organizations who have expertise on community health issues. The health needs identified in the CHNA are a prioritized description of the significant health needs of the community. The community engagement process for the CHNA culminated with a meeting of service providers, stakeholders and residents held at the Worcester Public Library, where CHNA key findings were presented and a prioritization process took place. This event was attended by approximately 75 people UMass Memorial HealthAlliance-Clinton Hospital Inc. : In addition to the CHNA, UMass Memorial HealthAlliance-Clinton Hospital Management Team plays an active role in the Community Benefit Program by sharing information regarding needed programs, services and support. Members of the Community Benefits Team and the Management Team also participate in various community agency boards, coalitions, committees, community events, and health fairs. These groups and events play a significant role in defining needs, generating program ideas and creating services, programs, and support groups. Community Benefits activities and goals are also shared with the Board of Trustees for their feedback. UMass Memorial HealthAlliance-Clinton Hospital works closely with the CHNA9 which is comprised of representatives from a diverse group of agencies, providers, schools, community organizations and community members. The hospital also works with CHNA9 members: A.E.D. Foundation, Inc. Arc of Opportunity Central Mass Agency on Aging, Clinton Adult Learning Center, Community Health Connections, Community Health link, Fitchburg Board of Health, Fitchburg Department of Community Development, Fitchburg Police Department, Fitchburg Public Schools, Fitchburg State University, GAAMHA Inc., Gardner Community Action Team, Gardner Public Schools, Gardner Visiting Nurses Association, Growing Places Inc., Health Care for All Health Disparities Collaborative, Health Foundation of Central Mass, Heywood Healthcare, Joint Coalition on Health, Leominster Public Schools, LUK, Inc., MA Department of Corrections, MA Department of Public Health, Massachusetts Public Health Association, Montachusett Community Branch YMCA, Montachusett Home Care, Montachusett Opportunity Council, Montachusett Veterans Outreach Center Inc., Montachusett Public Health Network, Mount Wachusett Community College, NAMI of North Central Mass, Nashoba Regional School District, Nashoba Valley Medical Center, North Central Mass Coalition for Healthy Relationships, North Central Mass Minority Coalition, North Central WIC, The SHINE Initiative, South Bay Mental Health, Spanish American Center, Suicide Prevention Task Force, Sunrise Senior Living, Three Pyramids Training Resources of America, Transportation for Massachusetts, UMass Medical School Center for Tobacco Treatment, United Neighbors of Fitchburg, United Way of Tri-County/Wheat Community Connections, Winchendon Board of Health, Winchendon Public Schools, Worcester County Food Bank/Feeding America, You Inc., and YWCA of North Central Marlborough: The CHNA is comprised of qualitative and quantitative data collected through a community engagement process. In addition, 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. and assesses the health care needs of the community it serves by working closely with community partners. CBAC members include representatives from the Hudson and Marlborough Public Schools and the Boards of Health, agencies that focus on addiction and recovery services, the Council on Aging, the Marlborough Community Development Corporation, Wellness Council members and residents of the community. The CBAC helps to identify programs in support of the community priorities, provides feedback on an on-going basis and focuses on addressing priority areas identified in the CHNA and aligned with strategies of the Community Health Improvement Plan.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>UMass Memorial Medical Center: UMass Memorial Medical Center employs 24 Financial Counselors, also referred to as Certified Application Counselors (CAC's). All Financial Counselors are state certified and located on all campus locations. The Patient Financial Counseling department has a dedicated call center line that is available to patients and any member in the community that requires assistance. Patient's are referred to the Financial Counselors from many community organizations, such as the local community actions councils and area Health Centers. Financial Counseling assistance is provided at several area free clinics to assist patients in the application process. The Patient Financial Counseling department assists patient's at bedside on inpatient units and patients in the emergency department setting. CAC's are available to assist underinsured and uninsured patients navigate the medical benefit application process. CAC's will take the steps necessary to help patients submit applications to obtain coverage, apply for Financial Assistance, resolve eligibility issues, upgrade their coverage to coverage that provides more benefits, choose and enroll in a MassHealth or Connector Care Health insurance plan and change these plans when necessary. UMass Memorial HealthAlliance-Clinton Hospital Inc. UMass Memorial HealthAlliance Clinton Hospital Inc. employs 3 Financial Counselors, also referred to as Certified Application Counselors (CAC's). All Financial Counselors are state certified and located on all campus locations. The Patient Financial Counseling department has a dedicated call center line that is available to patients and any member in the community that requires assistance. Patient's are referred to the Financial Counselors from many community organizations, such as the local community actions councils and area Health Centers. Financial Counseling assistance is provided at several area free clinics to assist patients in the application process. The Patient Financial Counseling department assists patient's at bedside on inpatient units and patients in the emergency department setting. CAC's are available to assist underinsured and uninsured patients navigate the medical benefit application process. CAC's will take the steps necessary to help patients submit applications to obtain coverage, apply for Financial Assistance, resolve eligibility issues, upgrade their coverage to coverage that provides more benefits, choose and enroll in a MassHealth or Connector Care Health insurance plan and change these plans when necessary. Marlborough Hospital: Marlborough Hospital employs 3 Financial Counselors, also referred to as Certified Application Counselors (CAC's). All Financial Counselors are state certified and located on all campus locations. The Patient Financial Counseling department has a dedicated call center line that is available to patients and any member in the community that requires assistance. Patient's are referred to the Financial Counselors from many community organizations, such as the local community actions councils and area Health Centers. Financial Counseling assistance is provided at several area free clinics to assist patients in the application process. The Patient Financial Counseling department assists patient's at bedside on inpatient units and patients in the emergency department setting. CAC's are available to assist underinsured and uninsured patients navigate the medical benefit application process. CAC's will take the steps necessary to help patients submit applications to obtain coverage, apply for Financial Assistance, resolve eligibility issues, upgrade their coverage to coverage that provides more benefits, choose and enroll in a MassHealth or Connector Care Health insurance plan and change these plans when necessary.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>UMass Memorial Medical Center: Geographical Reach: The 2018 Community Health Assessment (CHNA) and Greater Worcester Community Health Improvement Plan (CHIP) focuses on the City of Worcester and the outlying communities of Shrewsbury, Millbury, West Boylston, Leicester, Grafton and Holden, a sub-section of its primary service area. This specific geographic area is the focus for the City of Worcester Division of Public Health regionalization 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 community-based organizations. This focus also facilitates collaboration with the CHIP Advisory Committee (The Coalition for a Healthy Greater Worcester) that implements key strategies of the CHIP so that future initiatives can be developed in a more coordinated approach. Our focus is on vulnerable populations living in this geographical area Regional Description: The City of Worcester is very ethnically-diverse. The number of Hispanics living in the city has grown by 35% over the past 10 years. Refugees from Iraq currently account for the greatest percentage of new immigrants (51%) followed by refugees from Bhutan, Burma, Liberia and other African nations. Health Resources and Services Administration (HRSA) has designated the City of Worcester a health professional shortage area (HPSA) in primary care, mental health and dental services due to its low-income population. The City of Worcester has several neighborhoods with a shortage of health providers and HRSA has determined that many census tracts in the city are medically-underserved areas (MUAs). Economic Characteristics: The U.S. Census American Fact Finder population estimates for 2013-2017 indicated that the median household income for the City of Worcester was $45,869 and for Worcester County region was $69,313. According to the Worcester Regional Research Bureau, of the city's total 184,743 residents, 22% are living below the poverty level. The number of children under the age of 18 living below the poverty level rose to 30% in 2010 from 25% in 2005-2009. 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. Demographics: Worcester is a Federal Resettlement Site, as a result, the City of Worcester's foreign born population is significantly higher than Worcester County as a whole, accounting for the majority of this population in the region. According to U.S. Census 2010 figures, the Hispanic population and other non-Hispanic, non-White ethnic groups in the city have notably increased while the white, non-Hispanic population has decreased. Reflecting this diversity, ninety percent of all medical interpretations provided by UMMHC are conducted in: Spanish, Portuguese, Vietnamese, Arabic, Albanian and American Sign Language. The remaining ten percent are conducted in other "non-primary" languages, the pool of which consists of 81 different languages. The senior population in the region also continues to grow as baby boomers reach the age of 65. According to the U.S. Census, residents between the ages of 20-64 account for the majority of the population in Worcester County at 61%. UMass Memorial HealthAlliance-Clinton Hospital Inc. UMass Memorial HealthAlliance-Clinton Hospital's primary service area includes the quasi-urban municipalities of Clinton, Fitchburg, and Leominster, and the more rural towns of Ashburnham, Ashby, Gardner, Lunenburg, Townsend, Sterling, and Westminster. The Hospital's secondary service area includes an additional twelve towns: Ayer, Bolton, Groton, Harvard, Hubbardston, Lancaster, Pepperell, Princeton, Shirley, Sterling, Templeton and Winchendon. While great efforts are made to improve the health status, provide diagnostic screening, and address access barriers of all residents within these communities, special attention is given to address the needs of diverse and/or low income, vulnerable segments of the population. The challenges that these cohorts face with respect to social determinants of health and access to care are often intense and are at the root of the challenges and poorer health outcomes faced in these communities. More specifically, the hospital's 2018 CHNA identified low-income populations, African Americans and other racial/ethnic minority populations, recent immigrants, non-English speakers, and older adults as priority populations that deserve special attention. According to the US Census Bureau: * In Fitchburg (6%), a significantly greater percentage of residents speak Spanish at home and English "less than very well" compared to the Commonwealth overall (4%) * Compared to the Commonwealth (11%), the percentage of Hispanic/Latino residents is significantly high in Fitchburg (24%), Clinton (14%), and Leominster (15%). * The percentage of residents identifying as "some other race" besides White, Black or African American, Asian, American Indian/Alaska Native, or Native Hawaiian/Pacific Islander is significantly high in Fitchburg (8%) and Leominster (7%) compared to the Commonwealth overall (4%). Employment, income, and poverty is another area where there was significant variation within the service area. According to the US Census Bureau: * Compared to the Commonwealth overall ($68,563), the median household income was significantly lower in Clinton, Fitchburg, Gardner, and Leominster, yet significantly higher in all other municipalities in the service area. * The percentage of residents that live below the federal poverty line is significantly high in Fitchburg (19%) and Gardner (19%) compared to the Commonwealth (12%). * Compared to the Commonwealth (24%), a significantly high percentage of residents live below 200% of the federal poverty line in Gardner (38%) and Leominster (28%). * The percentage of families, individuals under 18, individuals over the age of 65, and female-headed households living in poverty was significantly high in Fitchburg compared to the Commonwealth overall. Marlborough Hospital: The City of Marlborough, with a population of 39,825 (July 2018) grew 3.4% from 2010. Marlborough's population is predominately White (80%) followed by Hispanic or Latino (10%), other race is 7%, Asian 5%, Black or African American 2% and 3% identify themselves as 2 or more races. Hudson has a population of 14,603 with 90% who identify themselves as White, 4% Hispanic or Latino, 2% other, 2% Asian, 1% Black or African American and 2% indicate two or more races. Quantitative data from U.S Department of Commerce, Bureau of the Census, American Community Survey 5 year estimates, 2010-2014 illustrates that just over threefourths of the Massachusetts population is White (76.9%) which was largely consistent with Marlborough (80%). Both at the state level and in Marlborough, the Hispanic population was the next largest racial/ethnic group. Hudson's population followed a similar pattern, the proportion of its population that identified as white was even larger (90%) followed by Hispanic and Latino. English, Portuguese and Spanish are the predominant language for the communities the hospital serves</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>The majority of the governing bodies of all our boards overseeing our hospital facilities -community hospitals, inc., and the member hospitals are comprised of persons who reside in the organization's primary service area who are neither employees nor independent contractors of the organization nor family members thereof. All hospital facilities extend medical staff privileges to all qualified physicians in its respective community for some (or all) of its departments or specialties and are also eligible to become part of the faculty of the University of Mass Medical School. UMass Memorial Medical Center: UMass Memorial has a designated Community Benefits department housed within Community Relations that is wholly dedicated to promoting the Community Benefit agenda with a special focus on Community Health Improvement. Our Community Benefits staff works very closely with multiple community organizations forging partnerships. The hospital has a strong and longstanding partnership with the Worcester Division of Public Health which has resulted in significant opportunities that have leveraged funding and implementation of preventive community-clinical linkages. In addition, we work closely with the two Federally Qualified Community Health Centers and leverage internal resources within the system to increase program capacity whenever possible. The Community Relations/Community Benefits Department works closely with Pedi-Primary Care, Family and Community Medicine, Pedi-Pulmonology and the Emergency Department. We also provide medical and dental services to the underserved at 11 neighborhood sites and 20 schools through the UMass Memorial Care Mobile (this function on hold beginning in March 2020 due to the COVID-19 pandemic). Most recently, we have adopted an Anchor Mission as a strategy to specifically address social determinants of health. UMass Memorial HealthAlliance-Clinton Hospital Inc: The hospital has a Community Benefit program that is responsible for promoting the Community Benefit Implementation Strategy focusing on Community Health Improvement. Hospital staff, leaders, and medical providers work very closely with multiple community organizations forging partnerships. In addition, we leverage internal resources within the system to increase program capacity whenever possible. We continue to support health education and screenings related to chronic diseases and prevalent health conditions in the community including mental/behavioral health, lung cancer/smoking cessation, chronic occlusive pulmonary disease (COPD), heart health, depression and nutrition/diabetes. We particularly focus on diverse populations and social determinants of health. UMass Memorial HealthAlliance-Clinton Hospital continued working with the Community Health Network of North Central Mass (CHNA9) and other partners in implementing the North Central Mass Community Health Improvement Plan (CHIP). Most CHIP working groups meet monthly and took significant steps toward reviewing baseline information and creating more partnerships that will enable sharing of resources throughout the CHIP implementation and beyond. 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>UMass Memorial Health Care is the largest not-for-profit health care system in Central Mass and the largest provider of care for the uninsured outside of Boston; and the only Safety Net provider in Central New England. Our health care system is comprised of UMass Memorial Medical Center as well as the Community Hospitals Health Alliance Clinton and Marlboro Hospitals. We have a reporting parent board and a medical group and affiliate with Community Healthlink which is the largest provider of mental health for vulnerable populations. Each hospital in our system, has a dedicated Community Benefits staff and department that works closely with their respective communities in conducting a the Community Health Needs Assessment, a Community Health Improvement Plan and a Community Benefits Implementation Strategy. In addition, we also share best practices and knowledge and adopt when appropriate. We have been one of the few hospital systems in the country that has adopted an "anchor mission" for our organization. This involves leveraging all of the assets of our organization in order to address pervasive inequality and social disadvantage in our community. We do so by strategically focusing our investment practices, hiring practices and purchasing practices in a manner that addresses the social determinants of health in the community. For example, we have pledged to devote 1% of our investment portfolio ($4 Million) and invest it into the community. We have already deployed almost half of that $4 Million by making four specific investments in the areas of housing and the arts in vulnerable areas of our community.</ExplanationTxt>
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        <PurposeOfGrantTxt>1. Support for Health Center's mission. 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.</PurposeOfGrantTxt>
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          <CityNm>Worcester</CityNm>
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        <PurposeOfGrantTxt>2. Support for Health Center's mission. 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.</PurposeOfGrantTxt>
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        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>3a. Primary purpose of the academic investment funds is to support the University of Massachusetts Medical School programs. - $6,789,500 3b. The primary objective of the present study is to evaluate the safety and efficacy of physician-modification of FDA-approved off-the-shelf endovascular grafts in the treatment of patients with complex Aortic Aneurysm Repair. - $99,890</PurposeOfGrantTxt>
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        <RecipientEIN>046364350</RecipientEIN>
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        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>4. Support access to healthy food</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>American Heart Association</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 4002012</AddressLine1Txt>
          <CityNm>Des Moines</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>503402012</ZIPCd>
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        <RecipientEIN>135613797</RecipientEIN>
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        <PurposeOfGrantTxt>5. Support for American Heart Association</PurposeOfGrantTxt>
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          <ZIPCd>01420</ZIPCd>
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        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>7. Support for Scholarships to highlight Academic of High School Seniors in the community</PurposeOfGrantTxt>
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        <ExplanationTxt>We monitor the use of grant funds for compliance after they are awarded, by, but not limited to, the following methods Family Health Center of Worcester, Inc. At reasonable intervals, re-evaluation of the Grants will occur to ensure that the arrangements and compliance are expected to continue to satisfy the standard set forth. The Health Centers will document the re-evaluation contemporaneously. Edward M. Kennedy Community Health Center Inc. At reasonable intervals, re-evaluation of the Grants will occur to ensure that the arrangements and compliance are expected to continue to satisfy the standard set forth. The Health Centers will document the re-evaluation contemporaneously. University of Massachusetts Medical School Evaluate safety &amp; efficiency of physicians-modifications regarding Complex Aortic Aneurysm Repair with quarterly progress and financial reports received to ensure compliance As part of the agreement, the use of the AIF is controlled and monitored jointly by the University and the System. Regional Environmental Council As part of the agreement, semi-annual and final reports will be provided in order to make sure they are in compliance. American Heart Association As part of the agreement, semi-annual and final reports will be provided in order to make sure they are in compliance. Metro West Health Foundation As part of the agreement, semi-annual and final reports will be provided in order to make sure they are in compliance. North Central Massachusetts - Chamber Foundation As part of the agreement, semi-annual and final reports will be provided in order to make sure they are in compliance. City of Worcester As part of the agreement, semi-annual and final reports will be provided in order to make sure they are in compliance.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>PHYSICIAN, CHAIR OF SURGERY DEPT - MED GROUP</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>ADEL BOZORGZADEH MD</BusinessNameLine1Txt>
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        <TitleTxt>PHYSICIAN, DIVISION CHIEF OF TRANSPLANT SURGERY - MED GROUP</TitleTxt>
        <BaseCompensationFilingOrgAmt>468444</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>320236</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>835406</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JENNIFER D WALKER MD</BusinessNameLine1Txt>
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        <TitleTxt>PHYSICIAN, DIVISION CHIEF OF CARDIAC SURGERY - MED GROUP</TitleTxt>
        <BaseCompensationFilingOrgAmt>628464</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TitleTxt>FORMER KEY EE, SVP UNTIL 9/25/19, OPERATIONS (UMMMC)</TitleTxt>
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        <TitleTxt>FORMER PRESIDENT UNTIL 9/27/19, HEALTHALLIANCE-CLINTON HOSPITAL</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II Compensation to employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ABOVE DIRECTORS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II Compensation to employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation to employees reported in Part VII and Schedule J is paid by UMass Memorial Health Care, Inc. and Affiliates only. Some of our physicians are also employed by the University of Massachusetts Medical School, an unrelated entity for tax purposes.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 CEO/Executive Director paid by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>Eric W. Dickson, MD is President &amp; CEO of UMass Memorial Health Care, Inc. and Affiliates, which includes all entities in this Group 990. As top management official, he is paid by UMass Memorial Health Care, Inc. (Parent), a related organization.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals received severance in the reporting period: Included in Sch J Col Biii: Fisher, Barbara $67,024 Weymouth, Deborah $100,229</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE REPORTING PERIOD: OFFICERS, DIRECTORS, TRUSTEES: BOLLAND ESHGHI, KATHARINE $36,098 BROWN, DOUGLAS S. $57,832 CORBETT, WILLIAM, MD $41,981 DAY, THERESE $35,872 DICKSON, ERIC W., MD $115,656 FINBERG, ROBERT W., MD $65,579 GAGNE, NICOLE $15,974 GREENWOOD, JOHN $31,754 LAPRIORE, CHERYL M. $31,576 ROACH, STEVEN $36,356 SHIRSHAC, JEANNE $16,708 STREETER, MICHELE $25,520 TOSI, STEPHEN E., MD $65,094 SUBTOTAL OFF, DIR, TRUSTEES $576,000 KEY EMPLOYEES: CYR, JAMES P. $26,138 FELDMANN, ROBERT $80,972 METZGER, BART $126,539 RANDOLPH, JOHN T. $231,682 SALZBERG, JOHN R. $18,128 SHAKMAN, ALICE $30,758 TARNOWSKI, TIMOTHY $45,204 SUBTOTAL KEY EMPLOYEES $559,421 FORMER: FISHER, BARBARA $230,284 WEYMOUTH, DEBORAH $441,471 SUBTOTAL FORMER $671,755 TOTAL $1,807,176 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE REPORTING PERIOD (no distribution received): OFFICERS, DIRECTORS, TRUSTEES: GUSTAFSON, MD, MICHAEL LEARY, JAMES MELGAR, SERGIO SWENSON, DANA E. KEY EMPLOYEES: BAILEY, JACK W. KARSON, ANDREW PRECOURT, JUSTIN</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 6 bonds issued 12/27/2017</FormAndLineReferenceDesc>
        <ExplanationTxt>Until the reporting for 9/30/2021 (and thereafter), the issue price (Part I column (e) will not agree to total expenditures (Part II, lines 6-12) due to the specific accounting used for the refunding escrow.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN C</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: Massachusetts Health and Educational Facilities Authority The calculation for computing no rebate due was performed on 10/14/2014</ExplanationTxt>
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          </BusinessName>
        </NameOfInterested>
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        <TransactionDesc>3rd Party Payer Contract Payment</TransactionDesc>
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      </BusTrInvolveInterestedPrsnGrp>
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        <TransactionDesc>Employment Arrangement w/ Marlborough Hospital</TransactionDesc>
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      </BusTrInvolveInterestedPrsnGrp>
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      <BusTrInvolveInterestedPrsnGrp>
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          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Substantial Contributor</RelationshipDescriptionTxt>
        <TransactionAmt>160080</TransactionAmt>
        <TransactionDesc>Independent Contractor Arrangement, donation of $5,000</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="19010655" softwareVersionNum="2019v5.0">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>6045</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>510</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Assorted toys</Desc>
        <ContributionCnt>21</ContributionCnt>
        <NoncashContributionsRptF990Amt>13960</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Misc. supplies</Desc>
        <ContributionCnt>10</ContributionCnt>
        <NoncashContributionsRptF990Amt>19400</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I, Line 32a Solicit, process, or sell noncash contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>UMass Memorial Health Care, Inc. affiliates utilized the services of UMass Memorial Foundation, Inc. until December 31, 2019 to solicit donor contributions. Beginning January 1, 2020, UMass Memorial Health Care, Inc. relied on an in-house Office of Philanthropy to solicit donor contributions. On occasion, the organization receives gifts of publicly traded stock. All gifts of publicly traded stock are immediately sold upon receipt through an investment services firm.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Clothing and household goods - The organization is reporting the number of contributions. Other - Assorted toys - The organization is reporting the number of contributions. Other - Misc. supplies - The organization is reporting the number of contributions.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="19010655" softwareVersionNum="2019v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 3 Number of voting members and Part VII</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of voting members of the governing body does not agree to the number of individuals reported in Part VII because there are 13 entities included in the group exemption and each entity has their own board of directors with voting rights. These directors are included in Part VII once, even if they serve on multiple boards. Refer to Sch O for a complete list of board members by entity and individuals with various board titles.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 72,271,307 including grants of $)(Revenue $ 56,933,089) OTHER 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, OR PATIENT ADVOCACY SERVICES TO THE PATIENTS OF UMASS MEMORIAL, CENTRAL NEW ENGLAND, AND OTHER GEOGRAPHIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>Marlborough Hospital &amp; UMM Health Ventures, Inc.: Richer, Gerard (Board Member) and Marlborough Hospital &amp; UMM Community Hospitals, Inc.: Michael Murphy (Board Member) - Business relationship, CNEHA &amp; UMM HealthAlliance-Clinton: Robert Paulhus (Board Member) and CNEHA &amp; UMM HealthAlliance-Clinton: Michael Ames (Board Member) - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO CLASSES OF MEMBERS. THE VOTING RIGHTS OF EACH MEMBER'S BOARD ARE ABSOLUTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MAJORITY OF ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (UMMHC - Parent , CNEHA, INC. or UMass Memorial Community Hospitals, Inc.) THAT ELECTS THE BOARD OF TRUSTEES. THERE ARE NO CLASSES OF MEMBERS. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MAJORITY OF THE ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (UMMHC - Parent , CNEHA, INC. or UMass Memorial Community Hospitals, Inc.) 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 MEMBERS. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>There are no committees with authority to act on behalf of the governing body, thus the "no" response for Part VI, Line 8b. THE ORGANIZATIONS DOCUMENT THE BOARD AND COMMITTEE MEETINGS BY TAKING MINUTES, WHICH INCLUDE ALL MEETING DISCUSSIONS AND ACTIONS. THESE WRITTEN MINUTES ARE THEN APPROVED AT THE FOLLOWING BOARD AND COMMITTEE MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>SECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J RELATED TO EXECUTIVE COMPENSATION IS REVIEWED IN DETAIL WITH THE ORGANIZATION'S BOARD COMPENSATION COMMITTEE WHICH OVERSEES ALL UMASS MEMORIAL HEALTH CARE EXECUTIVE COMPENSATION. THE ORGANIZATION'S COMPLIANCE COMMITTEE REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE ORGANIZATION'S COMMUNITY BENEFITS COMMITTEE (THAT OVERSEES ALL BOARDS) REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE H. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990 AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL. THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990. CROWE (TAX PREPARERS) PRESENTS THE FORM 990 TO THE FINANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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. The following groups of individuals are covered by this policy: a. All Trustees/Directors: all UMM entities b. UMMHC/UMMMC/UMMMG: Dept Heads and above; selected others c. Physicians: all employed physicians, members of any board committee, members of Medical Staff Executive Committees; others as determined appropriate THERE IS ACTIVE MONITORING by the UMMHC Compliance office AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH ACTIVITIES/DECISIONS. Any conflicts identified are MANAGED AND reported to the appropriate officer and/or governing body. We have an appropriate management plan with any individuals with outside relationships that require mitigation. Where it is necessary, individuals may provide subject matter expertise however they have no influence or authorization of decisions for the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation matters involving the System President &amp; CEO (paid by UMass Memorial Health Care, Inc. (Parent) a related organization) and Senior Executives (including Group 990 entity Presidents) are overseen by the Compensation Committee of the Board, which was designated this authority by the Organization's Board of Trustees. The Compensation Committee approved a Compensation Philosophy and Policy which govern compensation matters. 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. Independent outside compensation consultants are hired by and report to the Compensation Committee of the Board and provide advice to the Committee on compensation matters. 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. During the fiscal year, the Compensation Committee met to review and vote on the compensation for the System President &amp; CEO and key personnel for Group 990 entities. The Compensation Committee voted and approved the System President &amp; CEO's compensation at their annual meeting in March 2020. All other key personnel (including the Group 990 entity Presidents) were voted on and approved at the annual meeting in December 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Please refer to the above narrative for Part VI, Line 15a for a description of the compensation review process. Dates of the reviews for other officers and key employees are noted below, along with the title for reference and tier (internal management hierarchy). Tier - Title - Review date: Tier A - PRESIDENT, CEO - March 2020 Tier B - PRESIDENT MEDICAL CENTER - December 2019 Tier B - EXEC VP, CFO - December 2019 Tier B - CHIEF PHYSICIAN EXECUTIVE - December 2019 Tier B - PRESIDENT,UMMH &amp; CAO/CLO,UMMHC - December 2019 Tier B - EXEC VP/COO UMMMG - December 2019 Tier C - SVP CMO-UMMMC - December 2019 Tier C - PRESIDENT MARLBORO HOSPITAL - December 2019 Tier C - SVP CHIEF HR OFFICER - December 2019 Tier C - SVP COMMUNITY PRACTICES - December 2019 Tier C - SVP GENERAL COUNSEL-PGL - December 2019 Tier C - SVP &amp; CHIEF PHILANTHROPY OFC - December 2019 Tier C - SVP CHF OF STAFF&amp;CHF MKTG OFC - December 2019 Tier C - SVP PATIENT CARE SVCS &amp; CNO - December 2019 Tier C - VP/CHIEF FINANCIAL OFFICER - December 2019 Tier C - SVP POP HLTH &amp; PRESIDENT, ACO - December 2019 Tier C - SVP FINANCE/CORP CONTROLLER - December 2019 Tier C - SVP SYSTEM REV CYCLE OPS &amp; CRO - December 2019 Tier C - SVP AMBULATORY SVCS - December 2019 Tier C - SVP CLINICAL SVCS - December 2019 Tier C - SVP SURGICAL&amp;PROCEDURAL SVCS - December 2019 Tier C - SVP CLINICAL SVCS - December 2019 Tier C - VP CHIEF CORPORATE COMPLIANCE - December 2019 Tier C - PRESIDENT COMMUNTY HLTH LINK - December 2019</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>All other program service revenue - Total Revenue: 640565, Related or Exempt Function Revenue: 640565, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11a Management fees</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported on line 11a represents management fees paid by UMass Memorial Medical Center for the management of exempt-function pharmaceutical services for the Medical Center.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFERS TO UNRESTRICTED - REVENUE - 2794296; TRANSFERS TO UNRESTRICTED - PPE - 2344017; Nonoperating net pension periodic cost and other pension-related changes - 134447; TRANSFERS (TO) FROM RELATED PARTIES - XXX-XX-XXXX; TRANSFERS TO UNRESTRICTED - EXPENDITURES - -3213349; CHANGE IN BENEFICIAL INTEREST IN TRUSTS AND OTHER CHANGES IN RESTRICTED NET ASSETS - 1775917; Other changes in net assets related to joint venture and SWAP agreement - -980046;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Page 1 Line Hc 14 Members of Group exemption number 3642</FormAndLineReferenceDesc>
        <ExplanationTxt>UMASS MEMORIAL HEALTH CARE, INC. AND AFFILIATES EIN: 91-2155626 FYE: 9/30/2020 306 Belmont Street, Worcester, MA 01604 Marlborough Hospital 157 Union Street, Marlborough, MA 01752 EIN: 04-2104693 FYE: 9/30/2020 UMass Memorial Behavioral Health System, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3374724 FYE: 9/30/2020 UMass Memorial Community Hospitals, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3296271 FYE: 9/30/2020 UMass Memorial Health Ventures, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 22-2605679 FYE: 9/30/2020 UMass Memorial Medical Center, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3358564 FYE: 9/30/2020 UMass Memorial Medical Group, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-2911067 FYE: 9/30/2020 UMass Memorial Realty, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-2805630 FYE: 9/30/2020 Community HealthLink, Inc. 72 Jaques Avenue, Worcester, MA 01610 EIN: 04-2626179 FYE: 9/30/2020 Central New England HealthAlliance, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-3172496 FYE: 9/30/2020 Coordinated Primary Care, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-3210002 FYE: 9/30/2020 HealthAlliance Home Health and Hospice, Inc. 25 Tucker Road, Leominster, MA 01453 EIN: 04-2932308 FYE: 9/30/2020 UMass Memorial HealthAlliance-Clinton Hospital, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-2103555 FYE: 9/30/2020 UMass Memorial Accountable Care Organization, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 46-2871359 FYE: 9/30/2020</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VII Section A Complete list of Group 990 Board Members and Officers by entity - Part 1 of 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Entity &amp; EIN: UMass Memorial Medical Center, Inc. #04-3358564 MICHAEL GUSTAFSON, MD PRESIDENT, UMM MEDICAL CENTER, INC SERGIO MELGAR TREASURER, UMM MEDICAL CENTER, INC. DOUGLAS S. BROWN SECRETARY, UMM MEDICAL CENTER, INC. KATHARINE BOLLAND ESHGHI ASSISTANT SECRETARY, UMM MEDICAL CENTER, INC. RICHARD SIEGRIST CHAIRPERSON, DIRECTOR, UMM MEDICAL CENTER, INC RAYMOND PAWLICKI VICE CHAIRPERSON, DIRECTOR, UMM MEDICAL CENTER, INC. PAUL KANGAS DIRECTOR UNTIL FY2020, UMM MEDICAL CENTER, INC. EVAN BENJAMIN, MD DIRECTOR, UMM MEDICAL CENTER, INC. DAVID L. BENNETT DIRECTOR, UMM MEDICAL CENTER, INC. RICHARD K. BENNETT DIRECTOR, UMM MEDICAL CENTER, INC. LESLIE BOVENZI DIRECTOR, UMM MEDICAL CENTER, INC. MICHAEL COLLINS, MD DIRECTOR, UMM MEDICAL CENTER, INC. EDWARD D'ALELIO DIRECTOR, UMM MEDICAL CENTER, INC. ERIC W. DICKSON, MD DIRECTOR, UMM MEDICAL CENTER, INC. ROBERT W. FINBERG, MD DIRECTOR, UMM MEDICAL CENTER, INC. TERENCE FLOTTE, MD DIRECTOR, UMM MEDICAL CENTER, INC. ELVIRA GUARDIOLA DIRECTOR, UMM MEDICAL CENTER, INC. MARK JOHNSON, MD DIRECTOR, UMM MEDICAL CENTER, INC. NANCY KANE DIRECTOR, UMM MEDICAL CENTER, INC. PETER KNOX DIRECTOR, UMM MEDICAL CENTER, INC. SUSAN MAILMAN DIRECTOR, UMM MEDICAL CENTER, INC. PAULETTE SEYMOUR-ROUTE PH.D. DIRECTOR, UMM MEDICAL CENTER, INC. ROSEMARY THOMSEN DIRECTOR, UMM MEDICAL CENTER, INC. LYNDA M. YOUNG, MD DIRECTOR, UMM MEDICAL CENTER, INC. Entity &amp; EIN: UMass Memorial Health Ventures, Inc. #22-2605679 CHERYL LAPRIORE PRESIDENT, DIRECTOR, UMM HEALTH VENTURES, INC. SERGIO MELGAR TREASURER, UMM HEALTH VENTURES, INC. FRANCIS W. SMITH CLERK, UMM HEALTH VENTURES, INC. PAUL KANGAS CHAIRPERSON, DIRECTOR, UMM HEALTH VENTURES, INC. JOHN BUDD DIRECTOR, UMM HEALTH VENTURES, INC. FREDERICK G. CROCKER DIRECTOR, UMM HEALTH VENTURES, INC. THERESE DAY DIRECTOR, UMM HEALTH VENTURES, INC. ERIC W. DICKSON, MD DIRECTOR, UMM HEALTH VENTURES, INC. GERARD P. RICHER DIRECTOR, UMM HEALTH VENTURES, INC. STEVEN ROACH DIRECTOR, UMM HEALTH VENTURES, INC. Entity &amp; EIN: UMass Memorial Realty, Inc. #04-2805630 RENEE MIKITARIAN-BRADLEY PRESIDENT, DIRECTOR, UMM REALTY, INC. DANA SWENSON PRESIDENT, DIRECTOR, UMM REALTY, INC. UNTIL FY2020 SERGIO MELGAR TREASURER, UMM REALTY, INC. FRANCIS W. SMITH SECRETARY, UMM REALTY, INC. DAVID L. BENNETT DIRECTOR, UMM REALTY, INC. DIX F. DAVIS DIRECTOR, UMM REALTY, INC. ERIC W. DICKSON, MD DIRECTOR, UMM REALTY, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VII Section A Complete list of Group 990 Board Members and Officers by entity - Part 2 of 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Entity &amp; EIN: UMass Memorial Medical Group, Inc. #04-2911067 STEPHEN E. TOSI, MD PRESIDENT, UMM MEDICAL GROUP, INC. MICHELE STREETER TREASURER, UMM MEDICAL GROUP, INC. FRANCIS W. SMITH SECRETARY, UMM MEDICAL GROUP, INC. LYNDA M. YOUNG, MD CHAIRPERSON, DIRECTOR, UMM MEDICAL GROUP, INC. ROBERT KEVIN FERGUSON, MD DIRECTOR UNTIL FY2020, UMM MEDICAL GROUP, INC. KATHRYN KENNEDY, MD DIRECTOR UNTIL FY2020, UMM MEDICAL GROUP, INC. DANIEL LASSER, MD DIRECTOR UNTIL FY2020, UMM MEDICAL GROUP, INC. GAIL ALLEN, ESQ. DIRECTOR, UMM MEDICAL GROUP, INC. RICARDO BELLO, MD DIRECTOR, UMM MEDICAL GROUP, INC. J. CHRISTOPHER CUTLER FACHE DIRECTOR, UMM MEDICAL GROUP, INC. ERIC W. DICKSON, MD DIRECTOR, UMM MEDICAL GROUP, INC. TERENCE FLOTTE, MD DIRECTOR, UMM MEDICAL GROUP, INC. MICHAEL GUSTAFSON, MD DIRECTOR, UMM MEDICAL GROUP, INC. MARY E. MALONEY, MD DIRECTOR, UMM MEDICAL GROUP, INC. JEFFREY N. METZMAKER, MD DIRECTOR, UMM MEDICAL GROUP, INC. DOMINIC NOMPLEGGI, MD DIRECTOR, UMM MEDICAL GROUP, INC. SHLOMIT SCHAAL, MD DIRECTOR, UMM MEDICAL GROUP, INC. CELESTE STRAIGHT, MD DIRECTOR, UMM MEDICAL GROUP, INC. Entity &amp; EIN: UMass Memorial Community Hospitals, Inc. #04-3296271 DOUGLAS S. BROWN PRESIDENT, CHAIRPERSON, DIRECTOR, UMM COMMUNITY HOSPITALS, INC. SERGIO MELGAR TREASURER, DIRECTOR, UMM COMMUNITY HOSPITALS, INC. JOHN GLASSBURN SECRETARY, UMM COMMUNITY HOSPITALS, INC. GAIL ALLEN, ESQ. DIRECTOR, UMM COMMUNITY HOSPITALS, INC. FERNANDO CATALINA, MD DIRECTOR, UMM COMMUNITY HOSPITALS, INC. WILLIAM CORBETT, MD DIRECTOR, UMM COMMUNITY HOSPITALS, INC. ERIC W. DICKSON, MD DIRECTOR, UMM COMMUNITY HOSPITALS, INC. MICHAEL GUSTAFSON, MD DIRECTOR, UMM COMMUNITY HOSPITALS, INC. JAMES LEARY DIRECTOR, UMM COMMUNITY HOSPITALS, INC. LUIS J. MASEDA DIRECTOR, UMM COMMUNITY HOSPITALS, INC. WILLIAM MCGRAIL ESQ. DIRECTOR, UMM COMMUNITY HOSPITALS, INC. MICHAEL D. MURPHY DIRECTOR, UMM COMMUNITY HOSPITALS, INC. JACK WILSON, PHD DIRECTOR, UMM COMMUNITY HOSPITALS, INC. STEVEN ROACH UMM COMMUNITY HOSPITALS, INC. (CEO of Marlborough Hospital/CEO of CNEHA, ex officio without vote) Entity &amp; EIN: Marlborough Hospital #04-2104693 STEVEN ROACH PRESIDENT, DIRECTOR, MARLBOROUGH HOSPITAL SERGIO MELGAR TREASURER, MARLBOROUGH HOSPITAL JOHN GLASSBURN SECRETARY, MARLBOROUGH HOSPITAL ANN-MARIA D'AMBRA ASSISTANT SECRETARY, MARLBOROUGH HOSPITAL MICHAEL D. MURPHY CHAIRPERSON, DIRECTOR, MARLBOROUGH HOSPITAL ANN K. MOLLOY VICE-CHAIRPERSON, DIRECTOR, MARLBOROUGH HOSPITAL GERARD P. RICHER DIRECTOR UNTIL FY2020, MARLBOROUGH HOSPITAL BRIAN BOUVIER DIRECTOR, MARLBOROUGH HOSPITAL DOUGLAS S. BROWN DIRECTOR, MARLBOROUGH HOSPITAL DANIEL CARLUCCI, MD DIRECTOR, MARLBOROUGH HOSPITAL CHARLES CAVAGNARO, MD DIRECTOR, MARLBOROUGH HOSPITAL BENJAMIN H. COLONERO JR. DIRECTOR, MARLBOROUGH HOSPITAL ELLEN DORIAN DIRECTOR, MARLBOROUGH HOSPITAL KIMBERLY EISENSTOCK, MD DIRECTOR, MARLBOROUGH HOSPITAL HOWARD FERRIS DIRECTOR, MARLBOROUGH HOSPITAL WILLIAM FISHER DIRECTOR, MARLBOROUGH HOSPITAL CHANDRIKA JAIN, MD DIRECTOR, MARLBOROUGH HOSPITAL JOSEPH G. LEANDRES DIRECTOR, MARLBOROUGH HOSPITAL PHILIP E. PURCELL DIRECTOR, MARLBOROUGH HOSPITAL KIMBERLY ROBINSON, MD DIRECTOR, MARLBOROUGH HOSPITAL VIBHA SHARMA, MD DIRECTOR, MARLBOROUGH HOSPITAL DAVID WALTON DIRECTOR, MARLBOROUGH HOSPITAL Entity &amp; EIN: UMass Memorial Behavioral Health System, Inc. #04-3374724 DOUGLAS S. BROWN PRESIDENT, CHAIRPERSON, DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC SERGIO MELGAR TREASURER, DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. WILLIAM H. O'BRIEN SECRETARY, UMM BEHAVIORAL HEALTH SYSTEM, INC. SHELDON BENJAMIN, MD DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. ALAN P. BROWN, MD DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. AMY GRASSETTE DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. JOANNE JOHNSON DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. CHERYL LAPRIORE DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. JAMES LEARY DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIANE MCKEE, MD DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. CYNTHIA M. MCMULLEN ED.D. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. JIM NOTARO DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. KEITH REARDON DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. JOHN SHEA, ESQ. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VII Section A Complete list of Group 990 Board Members and Officers by entity - Part 3 of 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Entity &amp; EIN: Community Healthlink, Inc. #04-2626179 TAMARA LUNDI PRESIDENT, COMMUNITY HEALTHLINK, INC NICOLE GAGNE PRESIDENT UNTIL FY2020, COMMUNITY HEALTHLINK, INC. SERGIO MELGAR TREASURER, DIRECTOR, COMMUNITY HEALTHLINK, INC. FRANCIS W. SMITH CLERK, COMMUNITY HEALTHLINK, INC. CYNTHIA M. MCMULLEN ED.D. DIRECTOR UNTIL FY2020, COMMUNITY HEALTHLINK, INC. SHELDON BENJAMIN, MD DIRECTOR, COMMUNITY HEALTHLINK, INC. DOUGLAS S. BROWN DIRECTOR, COMMUNITY HEALTHLINK, INC. ALAN P. BROWN, MD DIRECTOR, COMMUNITY HEALTHLINK, INC. AMY GRASSETTE DIRECTOR, COMMUNITY HEALTHLINK, INC. JOANNE JOHNSON DIRECTOR, COMMUNITY HEALTHLINK, INC. CHERYL LAPRIORE DIRECTOR, COMMUNITY HEALTHLINK, INC. JAMES LEARY DIRECTOR, COMMUNITY HEALTHLINK, INC. DIANE MCKEE, MD DIRECTOR, COMMUNITY HEALTHLINK, INC. JIM NOTARO DIRECTOR, COMMUNITY HEALTHLINK, INC. KEITH REARDON DIRECTOR, COMMUNITY HEALTHLINK, INC. JOHN SHEA, ESQ. DIRECTOR, COMMUNITY HEALTHLINK, INC. Entity &amp; EIN: Central New England HealthAlliance, Inc. #04-3172496 STEVEN ROACH PRESIDENT, DIRECTOR, CNEHA, INC. SERGIO MELGAR TREASURER, CNEHA, INC. FRANCIS W. SMITH SECRETARY, CNEHA,INC MAUREEN CROTEAU ASSISTANT SECRECTARY, CNEHA, INC. ROBERT J. PAULHUS JR. INTERIM CHAIRPERSON, DIRECTOR, CNEHA, INC. CHRISTOPHER KENNEDY, MD DIRECTOR UNTIL FY2020, CNEHA, INC. NICHOLAS MERCADANTE, MD DIRECTOR UNTIL FY2020, CNEHA, INC. GAIL ALLEN, ESQ. DIRECTOR, CNEHA, INC. MICHAEL W. AMES DIRECTOR, CNEHA, INC. ROBERT BABINEAU JR., MD DIRECTOR, CNEHA, INC. DOUGLAS S. BROWN DIRECTOR, CNEHA, INC. XIMENA M. CASTRO, MD DIRECTOR, CNEHA, INC. FERNANDO CATALINA, MD DIRECTOR, CNEHA, INC. WILLIAM CORBETT, MD DIRECTOR, CNEHA, INC. DIX F. DAVIS DIRECTOR, CNEHA, INC. CARLOS NICOLAS FORMAGGIA ESQ. DIRECTOR, CNEHA, INC. TAMMY GRAVEL DIRECTOR, CNEHA, INC. MICHAEL MAHAN DIRECTOR, CNEHA, INC. DONATA MARTIN DIRECTOR, CNEHA, INC. LUIS J. MASEDA DIRECTOR, CNEHA, INC. MICHAEL RIVARD DIRECTOR, CNEHA, INC. ROBERT LESLIE SHELTON, MD DIRECTOR, CNEHA, INC. Entity &amp; EIN: COORDINATED PRIMARY CARE, INC. #04-3210002 STEVEN ROACH PRESIDENT, DIRECTOR, COORDINATED PRIMARY CARE, INC. SERGIO MELGAR TREASURER, COORDINATED PRIMARY CARE, INC. MAUREEN CROTEAU SECRETARY, COORDINATED PRIMARY CARE, INC. CHARLES CAVAGNARO, MD DIRECTOR, COORDINATED PRIMARY CARE, INC. WILLIAM CORBETT, MD DIRECTOR, COORDINATED PRIMARY CARE, INC. Entity &amp; EIN: HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. #04-2932308 STEVEN ROACH PRESIDENT, DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. SERGIO MELGAR TREASURER, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. STEVEN MCCUE ASSISTANT TREASURER, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. MAUREEN CROTEAU SECRETARY, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. LESLIE BOVENZI CHAIRPERSON, DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. NANCY DUPHILY DIRECTOR UNTIL FY2020, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. LYNNE FARRELL DIRECTOR UNTIL FY2020, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. ANTHONY J. MERCADANTE DIRECTOR UNTIL FY2020, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. GAIL ALLEN, ESQ. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. ROBERT BABINEAU JR., MD DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DIX F. DAVIS DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. CARLOS NICOLAS FORMAGGIA ESQ. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. MICHAEL MAHAN DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DONATA MARTIN DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VII Section A Complete list of Group 990 Board Members and Officers by entity - Part 4 of 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Entity &amp; EIN: UMass Memorial HEALTHALLIANCE-CLINTON HOSPITAL, INC. #04-2103555 STEVEN ROACH PRESIDENT, DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. SERGIO MELGAR TREASURER, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. FRANCIS W. SMITH SECRETARY, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MAUREEN CROTEAU ASSISTANT CLERK, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. ROBERT J. PAULHUS JR. INTERIM CHAIRPERSON, DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. CHRISTOPHER KENNEDY, MD DIRECTOR UNTIL FY2020, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. NICHOLAS MERCADANTE, MD DIRECTOR UNTIL FY2020, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. GAIL ALLEN, ESQ. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MICHAEL W. AMES DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. ROBERT BABINEAU JR., MD DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DOUGLAS S. BROWN DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. XIMENA M. CASTRO, MD DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. FERNANDO CATALINA, MD DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. WILLIAM CORBETT, MD DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DIX F. DAVIS DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. CARLOS NICOLAS FORMAGGIA ESQ. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. TAMMY GRAVEL DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MICHAEL MAHAN DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DONATA MARTIN DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. LUIS J. MASEDA DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MICHAEL RIVARD DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. ROBERT LESLIE SHELTON, MD DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. Entity &amp; EIN: UMass Memorial ACCOUNTABLE CARE ORGANIZATION, INC. #46-2871359 JOHN GREENWOOD PRESIDENT, DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. JEANNE SHIRSHAC TREASURER, UMM ACCOUNTABLE CARE ORGANIZATION, INC. FRANCIS W. SMITH CLERK, UMM ACCOUNTABLE CARE ORGANIZATION, INC. ERIC W. DICKSON, MD CHAIRPERSON, DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. HOWARD ALFRED, MD DIRECTOR UNTIL FY2020, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DAVID HARLAN, MD DIRECTOR UNTIL FY2020, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DANIEL LASSER, MD DIRECTOR UNTIL FY2020, UMM ACCOUNTABLE CARE ORGANIZATION, INC. ANTONIA MCGUIRE DIRECTOR UNTIL FY2020, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DOUGLAS S. BROWN DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. WILLIAM CORBETT, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. JORDAN EISENSTOCK, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. ROBERT FISHMAN DO, FACP DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. MICHAEL GUSTAFSON, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. BARBARA KUPFER DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. LALITA MATTA, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. ED MOORE DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. JENNIFER REIDY, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. FRANCIS SWEENEY, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. STEPHEN E. TOSI, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. MATTHEW J. TRAINOR, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DEBRA TWEHOUS, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VII Section A Various board titles - Part 1 of 2</FormAndLineReferenceDesc>
        <ExplanationTxt>HOWARD ALFRED, MD DIR, RENAL DIALYSIS DIRECTOR UNTIL FY2020, UMM ACCOUNTABLE CARE ORGANIZATION, INC. GAIL ALLEN, ESQ. DIRECTOR, UMM MEDICAL GROUP, INC. DIRECTOR, UMM COMMUNITY HOSPITALS, INC. DIRECTOR, CNEHA, INC. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MICHAEL W.AMES DIRECTOR, CNEHA, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. ROBERT BABINEAU, JR., MD PHYSICIAN DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DIRECTOR, CNEHA, INC. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. RICARDO BELLO, MD PHYSICIAN DIRECTOR, UMM MEDICAL GROUP, INC. EVAN BENJAMIN, MD DIRECTOR, UMM MEDICAL CENTER, INC. SHELDON BENJAMIN, MD DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIRECTOR, COMMUNITY HEALTHLINK, INC. DAVID L.BENNETT DIRECTOR, UMM MEDICAL CENTER, INC. DIRECTOR, UMM REALTY, INC. RICHARD K.BENNETT DIRECTOR, UMM MEDICAL CENTER, INC. BRIAN BOUVIER DIRECTOR, MARLBOROUGH HOSPITAL LESLIE BOVENZI DIRECTOR, UMM MEDICAL CENTER, INC. CHAIRPERSON, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. JOHN BRONHARD FORMER TREASURER UNTIL 10/1/18, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DOUGLAS S.BROWN PRESIDENT,UMMH &amp; CAO/CLO,UMMHC SECRETARY, UMM MEDICAL CENTER, INC. PRESIDENT, CHAIRPERSON, UMM COMMUNITY HOSPITALS, INC. DIRECTOR, MARLBOROUGH HOSPITAL PRESIDENT, CHAIRPERSON, UMM BEHAVIORAL HEALTH SYSTEM, INC DIRECTOR, COMMUNITY HEALTHLINK, INC. DIRECTOR, CNEHA, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. ALAN P.BROWN, MD VICE CHAIR, ADLT PSY CLIN SVCS DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIRECTOR, COMMUNITY HEALTHLINK, INC. JOHN BUDD DIRECTOR, UMM HEALTH VENTURES, INC. DANIEL CARLUCCI, MD DIRECTOR, MARLBOROUGH HOSPITAL XIMENA M.CASTRO, MD PHYSICIAN DIRECTOR, CNEHA, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. FERNANDO CATALINA, MD DIRECTOR, UMM COMMUNITY HOSPITALS, INC. DIRECTOR, CNEHA, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. CHARLES CAVAGNARO, MD CORP VP, CHIEF MEDICAL OFFICER DIRECTOR, MARLBOROUGH HOSPITAL DIRECTOR, COORDINATED PRIMARY CARE, INC. MICHAEL COLLINS, MD DIRECTOR, UMM MEDICAL CENTER, INC. BENJAMIN H.COLONERO, JR. DIRECTOR, MARLBOROUGH HOSPITAL WILLIAM CORBETT, MD SVP, COMMUNITY PRACTICES DIRECTOR, UMM COMMUNITY HOSPITALS, INC. DIRECTOR, CNEHA, INC. DIRECTOR, COORDINATED PRIMARY CARE, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. FREDERICK G.CROCKER DIRECTOR, UMM HEALTH VENTURES, INC. MAUREEN CROTEAU EXECUTIVE ASST, PROJECT MGR ASSISTANT SECRECTARY, CNEHA, INC. SECRETARY, COORDINATED PRIMARY CARE, INC. SECRETARY, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. ASSISTANT CLERK, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. J. CHRISTOPHER CUTLER, FACHE DIRECTOR, UMM MEDICAL GROUP, INC. EDWARD D'ALELIO DIRECTOR, UMM MEDICAL CENTER, INC. DIX F. DAVIS DIRECTOR, UMM REALTY, INC. DIRECTOR, CNEHA, INC. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. THERESE DAY VP/CHIEF FINANCIAL OFFICER MED CENTER DIRECTOR, UMM HEALTH VENTURES, INC. ERIC W. DICKSON, MD PRESIDENT &amp; CEO OF UMM HEALTH CARE, INC. &amp; AFFILIATES DIRECTOR, UMM MEDICAL CENTER, INC. DIRECTOR, UMM HEALTH VENTURES, INC. DIRECTOR, UMM REALTY, INC. DIRECTOR, UMM MEDICAL GROUP, INC. DIRECTOR, UMM COMMUNITY HOSPITALS, INC. CHAIRPERSON, UMM ACCOUNTABLE CARE ORGANIZATION, INC. ELLEN DORIAN DIRECTOR, MARLBOROUGH HOSPITAL NANCY DUPHILY DIRECTOR UNTIL FY2020, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. KIMBERLY EISENSTOCK, MD CHIEF, CLINICAL HOSPITAL MED DIRECTOR, MARLBOROUGH HOSPITAL JORDAN EISENSTOCK, MD PHYSICIAN DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. KATHARINE BOLLAND ESHGHI SVP, GENERAL COUNSEL-PGL ASSISTANT SECRETARY, UMM MEDICAL CENTER, INC. LYNNE FARRELL DIRECTOR UNTIL FY2020, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. ROBERT KEVIN FERGUSON, MD PHYSICIAN DIRECTOR UNTIL FY2020, UMM MEDICAL GROUP, INC. HOWARD FERRIS DIRECTOR, MARLBOROUGH HOSPITAL ROBERT W. FINBERG, MD CLINICAL DEPARTMENT CHAIR DIRECTOR, UMM MEDICAL CENTER, INC. WILLIAM FISHER DIRECTOR, MARLBOROUGH HOSPITAL ROBERT FISHMAN, DO, FACP DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. TERENCE FLOTTE, MD DIRECTOR, UMM MEDICAL CENTER, INC. DIRECTOR, UMM MEDICAL GROUP, INC. CARLOS NICOLAS FORMAGGIA, ESQ. DIRECTOR, CNEHA, INC. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. NICOLE GAGNE PRESIDENT, COMMUNITY HEALTHLINK, INC. PRESIDENT UNTIL FY2020, COMMUNITY HEALTHLINK, INC. JOHN GLASSBURN ASSOC GEN'L COUNSEL-CORP/BUSIN SECRETARY, UMM COMMUNITY HOSPITALS, INC. SECRETARY, MARLBOROUGH HOSPITAL AMY GRASSETTE DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIRECTOR, COMMUNITY HEALTHLINK, INC. TAMMY GRAVEL DIRECTOR, CNEHA, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. JOHN GREENWOOD SVP, POP HLTH &amp; PRESIDENT, ACO PRESIDENT, DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. ELVIRA GUARDIOLA DIRECTOR, UMM MEDICAL CENTER, INC. MICHAEL GUSTAFSON, MD PRESIDENT, MEDICAL CENTER PRESIDENT, UMM MEDICAL CENTER, INC DIRECTOR, UMM MEDICAL GROUP, INC. DIRECTOR, UMM COMMUNITY HOSPITALS, INC. DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DAVID HARLAN, MD CHIEF, DIABETES-DIR, DIAB COE DIRECTOR UNTIL FY2020, UMM ACCOUNTABLE CARE ORGANIZATION, INC. CHANDRIKA JAIN, MD PRESIDENT OF MED STAFF DIRECTOR, MARLBOROUGH HOSPITAL MARK JOHNSON, MD CLINICAL DEPARTMENT CHAIR DIRECTOR, UMM MEDICAL CENTER, INC. JOANNE JOHNSON DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIRECTOR, COMMUNITY HEALTHLINK, INC. NANCY KANE DIRECTOR, UMM MEDICAL CENTER, INC. PAUL KANGAS DIRECTOR UNTIL FY2020, UMM MEDICAL CENTER, INC. CHAIRPERSON, DIRECTOR, UMM HEALTH VENTURES, INC. KATHRYN KENNEDY, MD DIR, CLINICAL MARL HOSP EM DIRECTOR UNTIL FY2020, UMM MEDICAL GROUP, INC. CHRISTOPHER KENNEDY, MD PHYSICIAN DIRECTOR UNTIL FY2020, CNEHA, INC. DIRECTOR UNTIL FY2020, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. PETER KNOX DIRECTOR, UMM MEDICAL CENTER, INC. BARBARA KUPFER DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. CHERYL LAPRIORE SVP, CHF OF STAFF &amp;CHF MKTG OFC PRESIDENT, DIRECTOR, UMM HEALTH VENTURES, INC. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIRECTOR, COMMUNITY HEALTHLINK, INC. DANIEL LASSER, MD CLINICAL DEPARTMENT CHAIR DIRECTOR UNTIL FY2020, UMM MEDICAL GROUP, INC. DIRECTOR UNTIL FY2020, UMM ACCOUNTABLE CARE ORGANIZATION, INC. JOSEPH G.LEANDRES DIRECTOR, MARLBOROUGH HOSPITAL JAMES LEARY VP GOV'T/COMMUNITY RELATIONS DIRECTOR, UMM COMMUNITY HOSPITALS, INC. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIRECTOR, COMMUNITY HEALTHLINK, INC. TAMARA LUNDI PRESIDENT, COMMUNITY HEALTHLINK, INC MICHAEL MAHAN DIRECTOR, CNEHA, INC. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. SUSAN MAILMAN DIRECTOR, UMM MEDICAL CENTER, INC. MARY E. MALONEY, MD PHYSICIAN DIRECTOR, UMM MEDICAL GROUP, INC. DONATA MARTIN DIRECTOR, CNEHA, INC. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. LUIS J. MASEDA DIRECTOR, UMM COMMUNITY HOSPITALS, INC. DIRECTOR, CNEHA, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. LALITA MATTA, MD MARLBORO CHIEF MEDICAL OFFICER DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. STEVEN MCCUE CFO OF HEALTHALLIANCE-CLINTON HOSP ASSISTANT TREASURER, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. WILLIAM MCGRAIL, ESQ. DIRECTOR, UMM COMMUNITY HOSPITALS, INC. ANTONIA MCGUIRE DIRECTOR UNTIL FY2020, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DIANE MCKEE, MD DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIRECTOR, COMMUNITY HEALTHLINK, INC. CYNTHIA M.MCMULLEN, ED.D. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIRECTOR UNTIL FY2020, COMMUNITY HEALTHLINK, INC. SERGIO MELGAR EXEC VP, CFO TREASURER, UMM MEDICAL CENTER, INC. TREASURER, UMM HEALTH VENTURES, INC. TREASURER, UMM REALTY, INC. TREASURER, DIRECTOR, UMM COMMUNITY HOSPITALS, INC. TREASURER, MARLBOROUGH HOSPITAL TREASURER, DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. TREASURER, DIRECTOR, COMMUNITY HEALTHLINK, INC. TREASURER, CNEHA, INC. TREASURER, COORDINATED PRIMARY CARE, INC. TREASURER, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. TREASURER, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. NICHOLAS MERCADANTE, MD DIRECTOR UNTIL FY2020, CNEHA, INC. DIRECTOR UNTIL FY2020, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. ANTHONY J.MERCADANTE DIRECTOR UNTIL FY2020, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. JEFFREY N. METZMAKER, MD PHYSICIAN DIRECTOR, UMM MEDICAL GROUP, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VII Section A Various board titles - Part 2 of 2</FormAndLineReferenceDesc>
        <ExplanationTxt>RENEE MIKITARIAN-BRADLEY AVP REAL ESTATE PRESIDENT, DIRECTOR, UMM REALTY, INC. ANN K.MOLLOY VICE-CHAIRPERSON, MARLBOROUGH HOSPITAL ED MOORE DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. MICHAEL D. MURPHY DIRECTOR, UMM COMMUNITY HOSPITALS, INC. CHAIRPERSON, MARLBOROUGH HOSPITAL DOMINIC NOMPLEGGI, MD CHIEF, GASTROENTEROLOGY DIRECTOR, UMM MEDICAL GROUP, INC. JIM NOTARO DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIRECTOR, COMMUNITY HEALTHLINK, INC. WILLIAM H. O'BRIEN EXEC DIR, UMMBHS SECRETARY, UMM BEHAVIORAL HEALTH SYSTEM, INC. ROBERT J. PAULHUS, JR. INTERIM CHAIRPERSON, CNEHA, INC. INTERIM CHAIRPERSON, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. RAYMOND PAWLICKI VICE CHAIRPERSON, DIRECTOR, UMM MEDICAL CENTER, INC. PHILIP E. PURCELL DIRECTOR, MARLBOROUGH HOSPITAL KEITH REARDON DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIRECTOR, COMMUNITY HEALTHLINK, INC. JENNIFER REIDY, MD CHIEF, PALLIATIVE MEDICINE DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. GERARD P. RICHER DIRECTOR, UMM HEALTH VENTURES, INC. DIRECTOR UNTIL FY2020, MARLBOROUGH HOSPITAL MICHAEL RIVARD DIRECTOR, CNEHA, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. STEVEN ROACH PRESIDENT, CNEHA, Inc. &amp; MARLBOROUGH HOSPITAL DIRECTOR, UMM HEALTH VENTURES, INC. UMM COMMUNITY HOSPITALS, INC. (NO VOTE) PRESIDENT, DIRECTOR, MARLBOROUGH HOSPITAL PRESIDENT, DIRECTOR, CNEHA, INC. PRESIDENT, DIRECTOR, COORDINATED PRIMARY CARE, INC. PRESIDENT, DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. PRESIDENT, DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. KIMBERLY ROBINSON, MD DIRECTOR, MARLBOROUGH HOSPITAL SHLOMIT SCHAAL, MD CLINICAL DEPARTMENT CHAIR DIRECTOR, UMM MEDICAL GROUP, INC. PAULETTE SEYMOUR-ROUTE, PH.D. NURSING PROF PRACT SPEC DIRECTOR, UMM MEDICAL CENTER, INC. VIBHA SHARMA, MD DIRECTOR, MARLBOROUGH HOSPITAL JOHN SHEA, ESQ. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIRECTOR, COMMUNITY HEALTHLINK, INC. ROBERT LESLIE SHELTON, MD DIRECTOR, CNEHA, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. JEANNE SHIRSHAC VP, HEALTH POLICY/PUBLIC PROG TREASURER, UMM ACCOUNTABLE CARE ORGANIZATION, INC. RICHARD SIEGRIST CHAIRPERSON, DIRECTOR, UMM MEDICAL CENTER, INC FRANCIS W. SMITH AVP,ASSOC GENERAL COUNSEL-PGL CLERK, UMM HEALTH VENTURES, INC. SECRETARY, UMM REALTY, INC. SECRETARY, UMM MEDICAL GROUP, INC. CLERK, COMMUNITY HEALTHLINK, INC. SECRETARY, CNEHA,INC SECRETARY, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. CLERK, UMM ACCOUNTABLE CARE ORGANIZATION, INC. CELESTE STRAIGHT, MD PHYSICIAN DIRECTOR, UMM MEDICAL GROUP, INC. MICHELE STREETER EXEC VP/COO UMMMG TREASURER, UMM MEDICAL GROUP, INC. FRANCIS SWEENEY, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DANA SWENSON SVP, CHIEF FACILITIES OFFICER UNTIL FY2020 PRESIDENT, DIRECTOR, UMM REALTY, INC. UNTIL FY2020 ROSEMARY THOMSEN DIRECTOR, UMM MEDICAL CENTER, INC. STEPHEN E. TOSI, MD CHIEF PHYSICIAN EXECUTIVE PRESIDENT, UMM MEDICAL GROUP, INC. DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. MATTHEW J. TRAINOR, MD PHYSICIAN DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DEBRA TWEHOUS, MD PHYSICIAN DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DAVID WALTON DIRECTOR, MARLBOROUGH HOSPITAL JACK WILSON, PHD DIRECTOR, UMM COMMUNITY HOSPITALS, INC. LYNDA M. YOUNG, MD DIRECTOR, UMM MEDICAL CENTER, INC. CHAIRPERSON, DIRECTOR, UMM MEDICAL GROUP, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a CEO/Executive Director paid by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>Eric W. Dickson, MD is President and CEO of UMass Memorial Health Care, Inc. and Affiliates, which includes all entities in this Group 990. As top management official, he is paid by UMass Memorial Health Care, Inc. (Parent), a related organization.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <DirectControllingEntityName>
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        </DirectControllingEntityName>
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        </DisregardedEntityName>
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          <AddressLine1Txt>306 Belmont Street</AddressLine1Txt>
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        </USAddress>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UMASS MEMORIAL MRI OF MALRBOROUGH LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>157 UNION STREET</AddressLine1Txt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        </USAddress>
        <EIN>202293995</EIN>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        </DirectControllingEntityName>
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        <ShareOfTotalIncomeAmt>416772</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>335233</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.6</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UMASS MEMORIAL HEALTHALLIANCE MRI CENTER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>60 HOSPITAL ROAD</AddressLine1Txt>
          <CityNm>LEOMINSTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01453</ZIPCd>
        </USAddress>
        <EIN>043561571</EIN>
        <PrimaryActivitiesTxt>MAGNETIC RESONANCE IMAGING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
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        <ShareOfEOYAssetsAmt>1039843</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEMORIAL OFFICE CONDOMIUM TRUST</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UMASS MEMORIAL REALTY INC</BusinessNameLine1Txt>
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        <EntityTypeTxt>Trust</EntityTypeTxt>
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        <ShareOfEOYAssetsAmt>236437</ShareOfEOYAssetsAmt>
        <OwnershipPct>0.5369</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HealthAlliance Realty Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>Fair Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HealthAlliance Realty Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>Fair Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UMass Memorial HealthAlliance MRI Center LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>Fair Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UMass Memorial MRI of Marlborough LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>240000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UMass Memorial Health Care Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>8754278</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UMass Memorial Health Care Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>10157233</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Fair value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>UMass Memorial Health Care Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>Fair Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
