2018-08-03T15:01:35-05:00 2017-09-30 350921680 CROWE LLP 175 Powder Forest Drive Simsbury CT 060897902 990 2016-10-01 043358566 UMass Memorial Health Care Inc (Parent) UMAS 5083340496 306 Belmont Street Worcester MA 01604 Sergio Melgar EVP/CFO/Treasurer 2018-08-03 true RACHEL SPURLOCK P00520729 8606789200 2016 2022-09-23 18:48:47Z Sergio Melgar 306 Belmont Street Worcester MA 01604 282350744 false X umassmemorialhealthcare.org X 1998 MA To support, develop and coordinate an integrated health care delivery system that includes multiple health care facilities and providers. To receive in trust, from whatever source, and administer gifts and grants, whether restricted or for a specific purpose. To promote services and programs that are charitable, scientific or educational and that address the physical and mental needs of the community at large, provided the corporation shall operate exclusively for the benefit of the Medical Center and other charitable organizations or hospitals that are under common control. 19 14 928 14 4517 3517 2066602 2732983 214431057 258358386 5735263 20650520 77642 76114 222310564 281818003 2211800 443507 0 77208759 92170900 0 712008 141837454 158403961 221258013 251018368 1052551 30799635 400352629 575845502 82586850 88603577 317765779 487241925 UMASS MEMORIAL HEALTH CARE, INC. IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICES, TEACHING AND RESEARCH false false 244449175 443507 258358386 TO SUPPORT THE ADVANCEMENT OF THE KNOWLEDGE, EDUCATION, AND RESEARCH AND THE PRACTICE OF HEALTH CARE RELATED SERVICES THROUGH THE OVERSIGHT OF UMASS MEMORIAL HEALTH CARE OPERATIONS AND THE EFFICIENT DELIVERY OF SUPPORT SERVICES. 244449175 true true false true false false false false false true true true false true true true false true false true true false false false true false false true true true false false false false false false false false false false false false false true true true true false true 424 0 true 928 true true true true CJ false false false false false false true false X 19 14 false false false false false true false true true false false true true true true true true true true false MA X Robert Feldmann 5083340496 306 Belmont Street Worcester MA 01604 Eric W Dickson MD President & CEO/Director, UMM Health Care, Inc. 40.0 5.0 X X 1629026 0 383400 Richard Siegrist Chairperson, UMM Health Care, Inc., Director various 1.0 1.0 X X 0 0 0 Robert W Finberg MD Director, UMM Health Care, Inc. 5.0 20.0 X 0 406410 70634 O Nsidinanya Okike MD Director, UMM Health Care, Inc. 5.0 40.0 X 0 124891 2463 Paulette Seymour-Route PhD Director, UMM Health Care, Inc. 1.0 1.0 X 0 44000 0 Lynda M Young MD Director, UMM Health Care, Inc. 1.0 1.0 X 0 35490 0 David L Bennett Director, UMM Health Care, Inc., UMM Med Center, Inc. 1.0 1.0 X 0 0 0 Richard K Bennett Director, UMM Health Care, Inc., Chair Marlborough Hosp., Director various 1.0 1.0 X 0 0 0 Michael Collins MD Director, UMM Health Care, Inc., UMM Med Center, Inc. 1.0 1.0 X 0 0 0 Edward D'Alelio Director, UMM Health Care, Inc., UMM Med Center, Inc. 1.0 1.0 X 0 0 0 Terence Flotte MD Director, UMM Health Care, Inc., Director various 1.0 1.0 X 0 0 0 Elvira Guardiola Director, UMM Health Care, Inc., UMM Med Center, Inc. 1.0 1.0 X 0 0 0 Paul Kangas Director, UMM Health Care, Inc., Chair, UMM Health Ventures, Inc., Director various 1.0 1.0 X 0 0 0 Peter Knox Director, UMM Health Care, Inc., UMM Med Center, Inc. 1.0 1.0 X 0 0 0 Harris L MacNeill Director, UMM Health Care, Inc., Director various 1.0 1.0 X 0 0 0 Mary Ellen McNamara Director, UMM Health Care, Inc., Director various 1.0 1.0 X 0 0 0 Edward J Parry III Director, UMM Health Care, Inc., UMM Med Center, Inc. 1.0 1.0 X 0 0 0 Raymond Pawlicki Director, UMM Health Care, Inc., UMM Med Center, Inc. 1.0 1.0 X 0 0 0 Jack Wilson Director, UMM Health Care, Inc., UMM Med Center, Inc. 1.0 1.0 X 0 0 0 Katharine Bolland Eshghi Assistant Secretary, UMM Health Care, Inc. 40.0 5.0 X 497740 0 101959 Douglas S Brown Secretary, UMM Health Care, Inc. 40.0 5.0 X 830984 0 205231 Sergio Melgar Treasurer, UMM Health Care, Inc. 40.0 5.0 X 1004137 0 176146 Lisa Colombo President, Clinton Hospital Assoc. 5.0 40.0 X 0 303633 42536 William Corbett MD SR VP, COMMUNITY PRACTICES 5.0 40.0 X 0 565034 169193 Therese Day VP/CFO of Medical Center 5.0 40.0 X 0 433356 125426 Nicole Gagne PRESIDENT, COMMUNTY HEALTHLINK 5.0 40.0 X 0 254460 37598 John Greenwood SVP, POP HLTH & PRESIDENT, ACO 5.0 40.0 X 0 404650 105818 Cheryl M Lapriore SVP,CHF OF STAFF&CHF MKTG OFC 40.0 5.0 X 421491 0 116074 Patrick Muldoon PRESIDENT of MEDICAL CENTER 5.0 40.0 X 0 1180497 284407 Steven Roach PRESIDENT, MARLBOROUGH HOSPITAL 5.0 40.0 X 0 511191 85728 Michele Streeter EXEC VP/COO UMMMG 5.0 40.0 X 0 612883 161065 Dana E Swenson SR VP,CHIEF FACILITIES OFFICER 40.0 5.0 X 340197 0 87241 Stephen E Tosi MD CHIEF PHYSICIAN EXECUTIVE 5.0 40.0 X 0 1123413 109723 Deborah Weymouth PRESIDENT, HealthAlliance Hospitals 5.0 40.0 X 0 519897 102798 James P Cyr Sr. VP, Operations (UMMMC) 5.0 40.0 X 0 374220 110146 Robert Feldmann VP, Corporate Controller 40.0 5.0 X 444379 0 111185 Barbara Fisher Sr VP, Operations (UMMMC) 5.0 40.0 X 0 392411 120435 Cathy Jewell Sr VP, Chief Nursing Officer until 1/31/17 5.0 40.0 X 0 595855 146133 Bart Metzger Sr VP, Chief HR Officer 40.0 5.0 X 519752 0 79741 John T Randolph VP, Chief Corporate Compliance 40.0 5.0 X 324430 0 96493 Alice Shakman Sr. VP, Operations (UMMMC) 5.0 40.0 X 0 394360 97379 Jeffrey A Smith MD Executive VP, COO 5.0 40.0 X 0 720189 89318 Timothy Tarnowski Sr VP, Chief Info Officer 40.0 5.0 X 621048 0 128115 Eric J Alper MD VP, CHIEF CLIN INFORMATICS OFC 40.0 0 X 490682 0 51814 Alan R Weston VP, HUMAN RESOURCES 40.0 0 X 358893 0 87396 Robin L Sodano VP, IS BUSN OPS/PERFORMANCE 40.0 0 X 358225 0 71910 Tod G Wiesman VP, OPD,CHIEF LEARNING OFFICER 40.0 0 X 341615 0 66487 John R Salzberg VP, REVENUE CYCLE 40.0 0 X 332938 0 93478 Sheila Daly Former President until 1/16, Clinton Hospital Association 0 X 0 219668 53035 Carlos Iitsuka SR VP,STRATEGY&BUSIN DVLPMT until 7/16 0 X 402254 0 51161 Patricia George VP & Deputy CIO, until 11/15 0 X 326488 0 16959 Margaret Hudlin MD CMO/VP Perioperative Svcs, until 9/1/16 0 X 0 887564 17758 Robert Klugman MD Former Chief Quality Officer, until 9/30/13 0 X 0 792120 0 Todd Keating Treasurer until 2/14, UMass Memorial Health Care, Inc. and Director of other boards 0 X 17808 0 0 9262088 10896192 3856382 202 true true false ERNST & YOUNG LLP PO BOX 640382 PITTSBURGH PA 15264 ADVISORY SERVICES 14241829 CROTHALL HLTHCARE INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 LINEN MANAGEMENT SERVICES 7819514 STOLTENBERG CONSULTING INC 5815 LIBERTY ROAD BETHEL PARK PA 15102 IS CONSULTING 6386350 ATOS IT OUTSOURCING SVCS LLC PO BOX 982442 EL PASO TX 79998 IT SERVICES 3900329 TIERPOINT NEW YORK LLC 12444 POWERSCOURT DR STE 450 ST LOUIS MO 63131 IS INFRASTRUCTURE 3408407 46 82875 529155 394160 1726793 12752 2732983 SYSTEM ALLOCATION REVENUE 622110 210731883 210731883 AFF. PROFESSIONAL LIABILITY INSURANCE PREMIUM 622110 28351188 28351188 AFF. WORKERS COMPENSATION INSURANCE PREMIUM 622110 9182449 9182449 AFF. GENERAL INSURANCE PREMIUM 622110 3611512 3611512 OTHER PROGRAM SERVICE REVENUE 622110 6481354 6481354 0 0 0 0 258358386 21072324 4517 21067807 76114 76114 0 0 421804 0 -421804 -421804 -421804 110937 529155 110937 0 0 0 0 0 281818003 258358386 4517 20722117 332507 332507 111000 111000 8848581 8848581 0 0 60423379 58376669 2046710 8296364 8015343 281021 8530931 7400685 1130246 6071645 5915072 156573 1312175 1312175 977705 977705 7270 7270 710957 98500 612457 22409376 21748151 661225 0 2701769 2691737 10032 527604 493961 33643 104973956 104973956 4668171 4380085 288086 505995 358778 147217 424044 310429 113615 2195095 2195095 15023396 15000175 23221 Foundation Fundraising Expenses 712008 712008 Membership dues & subscriptions 759915 590460 169455 Licenses & taxes 86007 86007 408518 224834 183684 0 251018368 244449175 5857185 712008 2765637 4226682 4116852 4379524 43659 812202 1212648 1277675 0 0 0 10805569 13695810 201130181 2982405 63882701 198147776 1573388 1319532 299737733 300980905 0 16214442 51005396 400352629 575845502 31670900 43129820 0 154203 364564 50761747 45109193 82586850 88603577 X 254240825 428008694 34088365 32294604 29436589 26938627 317765779 487241925 400352629 575845502 X 30799635 10953015 127723496 X X false true X true true true X X 14 UMASS MEMORIAL MEDICAL CENTER INC 043358564 3 true 175550274 0 The Clinton Hospital Association 041185520 3 false 3232347 0 Marlborough Hospital 042104693 3 false 5013667 0 HealthAlliance Hospitals Inc 042103555 3 false 9206501 0 UMass Memorial Medical Group Inc 042911067 9 false 57890020 0 UMass Memorial Accountable Care Organization Inc 462871359 9 false 1076170 0 UMass Memorial Behavioral Health System Inc 043374724 9 false 0 0 UMass Memorial Community Hospitals Inc 043296271 3 false 0 0 UMass Memorial Health Ventures Inc 222605679 9 false 0 0 UMass Memorial Realty Inc 042805630 9 false 293688 0 Community HealthLink Inc 042626179 9 false 752508 0 Central New England HealthAlliance Inc 043172496 9 false 0 0 HealthAlliance Home Health and Hospice Inc 042932308 9 false 44265 0 Coordinated Primary Care Inc 043210002 9 false 0 0 14 253059440 0 false false false false false true false false false false false false false false false true true true X true true Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name According to the Articles of Organization of UMass Memorial Health Care, Inc., the corporation shall operate exclusively for the benefit of UMass Memorial Medical Center, Inc. and other charitable organizations or hospitals that are controlled by or under common control with the corporation in the conduct of their charitable, educational and scientific functions. Schedule A, Part IV, Section A, Line 6 Support to other supported orgs See details on Schedule I. Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies THE ORGANIZATIONS SUPPORTED HAVE A SIGNIFICANT VOICE IN THE ORGANIZATION'S INVESTMENT POLICIES, AS WELL AS IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME OR ASSETS. THE SUPPORTING ORGANIZATIONS PARTICIPATE ON THE INVESTMENT COMMITTEE TO DIRECT THE INVESTMENTS OF THE UMASS MEMORIAL INVESTMENT PARTNERSHIP, IN WHICH THE SUPPORTING ORGANIZATION'S FUNDS ARE INVESTED. Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee THE PARENT ORGANIZATION HAS THE POWER TO REGULARLY APPOINT OR ELECT A MAJORITY OF THE OFFICERS, DIRECTORS, OR TRUSTEES OF EACH SUPPORTED ORGANIZATION. Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities THE ORGANIZATION EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH OF ITS SUPPORTED ORGANIZATIONS THROUGH THE DIRECTION OF THE OFFICERS AND DIRECTORS OF THE SUPPORTED ORGANIZATIONS. THERE ARE RESERVED POWERS OF THE PARENT OVER ITS SUBSIDIARIES FOR SIGNIFICANT CORPORATE ACTIONS RELATED TO SUCH ITEMS AS AGREEMENTS TO SELL ASSETS, MERGERS, CAPITAL AND OPERATING BUDGETS, LOAN AGREEMENTS, ELECTION OF THE PRESIDENT, CHANGES TO ARTICLES OF ORGANIZATION/BYLAWS, ADOPTION OF STRATEGIC PLAN, ETC. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 7270 7270 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Amounts represent percentage of lobbying expenses included in membership dues. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Amounts represent percentage of lobbying expenses included in membership dues. 46909090 10239 4215185 3265242 47869272 43468456 50063 4149383 758812 46909090 41513886 2878559 -561040 362949 43468456 39106196 3703446 1295756 41513886 38224612 2507314 1625730 39106196 0.0 0.56 0.44 false false 17163604 2982405 14181199 183966577 0 183966577 198147776 Investment in captive insurance company 120000 F Investment in Limited Partnership F Units in Investment Partnership 298825634 F Privately-held Company Shares 2035271 F 300980905 Cash value of life insurance policies 36164 Due from Related Parties 50969232 Due from Third Parties 51005396 Due to related parties 0 Due to University of Massachusetts Medical School 3050707 Outstanding Loss Reserves 35701232 Annuity Payable 2447864 Accrued LT incentive compensation 1348000 Third Party Liabilities Other Long-Term Liabilities 2561390 45109193 X Schedule D, Part V, Line 4 Intended uses of endowment funds The intended use of the organization's endowment funds are directed in accordance with the donor's intent including the preservation of the original gift and various purposes including charity care, medical education, research, health care services, buildings and equipment. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Income Taxes: The System follows a two-step approach for the financial statement recognition and measurement of a tax position taken or expected to be taken on a tax return. The substantial majority of UMass Memorial and its affiliate entities are recognized by the Internal Revenue Service as tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Accordingly, these entities will not incur any liability for federal income taxes except for tax on unrelated business income. The measurement of the amounts recorded as a provision for income taxes based upon the aforementioned approach was $315,000 and $301,000 for the years ended September 30, 2017 and 2016, respectively, and is recorded as part of supplies and other expense in the accompanying consolidated statements of operations. Certain affiliates have federal and state income tax net operating loss ("NOL") carryforwards related to its discontinued laboratory outreach business. For the year ended September 30, 2017, federal and state NOL carryforwards were $26,992,000. Such NOL carryforwards expire from 2020 to 2035. It is more likely than not that the income tax benefits will not be realized. The System does not believe it has any significant uncertain tax positions. Central America and the Caribbean 1 1 Conducting board meetings,Accounting 155461 Central America and the Caribbean 1 1 Investments 120000 Central America and the Caribbean 1 1 Program Services Reimbursement of claims paid 29136929 Central America and the Caribbean 1 1 Program Services Insurance premiums paid 9244992 4 4 0 0 4 4 38657382 0 38657382 true false true false false false Winter Ball 580969 488827 92142 7371 28798 29738 7742 18493 Tee Up 44835 30780 14055 14055 1 14288 9548 4740 4740 640092 529155 110937 7371 47593 29738 7742 18493 110937 0 true City of Worcester 455 Main Street Worcester MA 01608 046001418 City of Worcester 123000 N/A N/A Support Worcester Division of Public Health Worcester Telegram Gazette Foundation Po Box 15012 Worcester MA 01615 222513752 501 (c)(3) 40000 N/A N/A Sponsorship Clark University Mosakowski Institute 950 Main St Worcester MA 01610 042111203 501 (c)(3) 30000 N/A N/A Support Academic Health Department Partnership Regional Environmental Council PO Box 255 Worcester MA 01613 046364350 501 (c)(3) 28000 N/A N/A Support access to healthy food Worcester Railers HC Charitable Foundation 900 Cummings Center Suite 226-U Beverly MA 01915 811645767 501 (c)(3) 25000 N/A N/A Hockey Sponsorship VNA Care Network 120 Thomas St Worcester MA 01608 042103825 501 (c)(3) 10000 N/A N/A Support home health services Francis Ouimet Scholarship Fund 300 Arnold Palmer Norton MA 02766 042234126 501 (c)(3) 10000 N/A N/A Caddy Workforce program for Youth at GreenHill Park 7 0 Stipends 24 111000 Schedule I, Part II, Line 3 Additional grants and other assistance to domestic organizations Total Additional grants and other assistance to domestic organizations for amounts less than $5,000 total $66,507. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. AT REASONABLE INTERVALS, RE-EVALUATION OF THE GRANTS WILL OCCUR TO ENSURE THAT THE ARRANGEMENTS ARE EXPECTED TO CONTINUE TO SATISFY THE STANDARD SET FORTH. X X X X X true true false false false false false false false Todd Keating Treasurer until 2/14, UMass Memorial Health Care, Inc. and Director of other boards 0 0 0 0 17808 0 0 0 0 0 17808 0 17808 0 Eric W Dickson MD President & CEO/Director, UMM Health Care, Inc. 1057840 0 528650 0 42536 0 327911 0 55489 0 2012426 0 40466 0 Robert W Finberg MD Director, UMM Health Care, Inc. 0 282351 0 74655 0 49405 0 39187 0 31446 0 477044 0 49405 Katharine Bolland Eshghi Assistant Secretary, UMM Health Care, Inc. 335319 0 129196 0 33225 0 78350 0 23609 0 599699 0 33225 0 Douglas S Brown Secretary, UMM Health Care, Inc. 540831 0 245570 0 44584 0 180928 0 24303 0 1036215 0 44584 0 Sergio Melgar Treasurer, UMM Health Care, Inc. 649922 0 296693 0 57523 0 137298 0 38849 0 1180283 0 57523 0 Sheila Daly Former President until 1/16, Clinton Hospital Association 0 201306 0 18362 0 0 0 43262 0 9773 0 272702 0 0 Carlos Iitsuka SR VP,STRATEGY&BUSIN DVLPMT until 7/16 152149 0 95280 0 154825 0 34641 0 16520 0 453415 0 75595 0 Patricia George VP & Deputy CIO, until 11/15 300000 0 0 0 26488 0 11365 0 5594 0 343447 0 26488 0 Margaret Hudlin MD CMO/VP Perioperative Svcs, until 9/1/16 0 253162 0 369221 0 265181 0 0 0 17758 0 905322 0 120584 Robert Klugman MD Former Chief Quality Officer, until 9/30/13 0 0 0 19203 0 772916 0 0 0 0 0 792120 0 755982 Lisa Colombo President, Clinton Hospital Assoc. 0 217363 0 76275 0 9995 0 19238 0 23297 0 346168 0 0 William Corbett MD SR VP, COMMUNITY PRACTICES 0 373014 0 156814 0 35206 0 147006 0 22187 0 734226 0 35206 Therese Day VP/CFO of Medical Center 0 298984 0 110604 0 23768 0 102317 0 23109 0 558782 0 23768 Nicole Gagne PRESIDENT, COMMUNTY HEALTHLINK 0 196470 0 57990 0 0 0 14164 0 23434 0 292058 0 0 John Greenwood SVP, POP HLTH & PRESIDENT, ACO 0 283618 0 103429 0 17603 0 81471 0 24347 0 510468 0 17603 Cheryl M Lapriore SVP,CHF OF STAFF&CHF MKTG OFC 295259 0 101234 0 24998 0 92965 0 23109 0 537565 0 24998 0 Patrick Muldoon PRESIDENT of MEDICAL CENTER 0 757686 0 375229 0 47583 0 244115 0 40292 0 1464904 0 47583 Steven Roach PRESIDENT, MARLBOROUGH HOSPITAL 0 342141 0 128609 0 40440 0 60394 0 25334 0 596919 0 40440 Michele Streeter EXEC VP/COO UMMMG 0 404850 0 184369 0 23664 0 136271 0 24795 0 773949 0 23664 Dana E Swenson SR VP,CHIEF FACILITIES OFFICER 245086 0 95111 0 0 0 65055 0 22187 0 427439 0 0 0 Stephen E Tosi MD CHIEF PHYSICIAN EXECUTIVE 0 638739 0 291042 0 193632 0 80547 0 29176 0 1233136 0 193632 Deborah Weymouth PRESIDENT, HealthAlliance Hospitals 0 387246 0 132651 0 0 0 87590 0 15209 0 622696 0 0 James P Cyr Sr. VP, Operations (UMMMC) 0 251073 0 98089 0 25058 0 86168 0 23978 0 484366 0 25058 Robert Feldmann VP, Corporate Controller 283862 0 110774 0 49743 0 85102 0 26083 0 555564 0 49743 0 Barbara Fisher Sr VP, Operations (UMMMC) 0 261856 0 101657 0 28898 0 98248 0 22187 0 512845 0 28898 Cathy Jewell Sr VP, Chief Nursing Officer until 1/31/17 0 298487 0 115148 0 182220 0 112952 0 33182 0 741988 0 182220 Bart Metzger Sr VP, Chief HR Officer 372995 0 146757 0 0 0 53905 0 25836 0 599493 0 0 0 John T Randolph VP, Chief Corporate Compliance 232236 0 92194 0 0 0 71784 0 24709 0 420923 0 0 0 Alice Shakman Sr. VP, Operations (UMMMC) 0 263326 0 100351 0 30683 0 85260 0 12120 0 491739 0 30683 Jeffrey A Smith MD Executive VP, COO 0 520600 0 199590 0 0 0 59090 0 30228 0 809507 0 0 Timothy Tarnowski Sr VP, Chief Info Officer 448327 0 172722 0 0 0 91387 0 36727 0 749163 0 0 0 Eric J Alper MD VP, CHIEF CLIN INFORMATICS OFC 367069 0 123613 0 0 0 28705 0 23109 0 542496 0 0 0 Alan R Weston VP, HUMAN RESOURCES 267488 0 85552 0 5853 0 64157 0 23239 0 446289 0 0 0 Robin L Sodano VP, IS BUSN OPS/PERFORMANCE 242324 0 62250 0 53651 0 48801 0 23109 0 430135 0 0 0 Tod G Wiesman VP, OPD,CHIEF LEARNING OFFICER 247797 0 52572 0 41246 0 37362 0 29125 0 408102 0 0 0 John R Salzberg VP, REVENUE CYCLE 240366 0 76363 0 16209 0 64499 0 28979 0 426416 0 0 0 Schedule J, Part II 1) THE ABOVE DIRECTORS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR Schedule J, Part I, Line 4a Severance or change-of-control payment The following individuals received or had deferred severance in the reporting period: Included in Sch J Col Biii: Hudlin, Margaret, MD $ 144,597 Carlos Iitsuka $ 79,230 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE REPORTING PERIOD: Officers, Directors, Trustees: Bolland Eshghi, Katharine $33,225 Brown, Douglas S. $44,584 Dickson, Eric W., MD $40,466 Finberg, Robert W., MD $49,405 Melgar, Sergio $57,523 Subtotal Off, Dir, Trustees $225,203 Key Employees: Corbett, William, MD $35,206 Day, Therese $23,768 Fisher, Barbara $28,898 Greenwood, John $17,603 Jewell, Cathy $182,220 Lapriore, Cheryl M. $24,998 Muldoon, Patrick $47,583 Roach, Steven $40,440 Shakman, Alice $30,683 Streeter, Michele $23,664 Tosi, Stephen E., MD $193,632 Subtotal Key Employees $648,695 Former: George, Patricia $26,488 Hudlin, Margaret, MD $120,584 Iitsuka, Carlos $75,595 Keating, Todd A. $17,808 Klugman, Robert, MD $755,982 Subtotal Former $996,457 Parent Top 5: John Salzberg $16,209 Subtotal Top 5 highest paid $16,209 Total $1,886,564 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE REPORTING PERIOD (no distribution received): Key Employees: Colombo, Lisa Cyr, James P. Feldmann, Robert Gagne, Nicole Metzger, Bart Randolph, John T. Smith, Jeffrey A., MD Swenson, Dana E. Tarnowski, Timothy Weymouth, Deborah Former: Daly, Sheila Parent Top 5: Al Weston Robin Sodano Tod Wiesman Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE CHANCELLOR OF THE UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL HAS CONTROL OVER 4 TRUSTEE SEATS OF THE ORGANIZATION. Form 990, Part VI, Line 11b Review of form 990 by governing body SECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD. THE COMPLIANCE COMMITTEE OF THE BOARD REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990 INCLUDING THE ABOVE SCHEDULES AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990. Form 990, Part VI, Line 12c Conflict of interest policy 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 Dept. of Compliance AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH DECISIONS. Any conflicts identified are 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. Form 990, Part VI, Line 15a Process to establish compensation of top management official Compensation matters involving the CEO and Senior Executives 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 consultant is hired by and reports to the Compensation Committee of the Board and provides 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 meet to review and vote on the compensation for the CEO and key personnel. The Compensation Committee voted and approved the CEO compensation at their annual meeting in March 2017. All other key personnel were voted and approved at the annual meeting in December 2016. Form 990, Part VI, Line 15b Process to establish compensation of other employees Tier Title Review date: A President, CEO March 2017 B Exec VP/COO UMMMG December 2016 B President, UMMH & CAO/CLO, UMMHC December 2016 B Chief Physician Executive December 2016 B President, Medical Center December 2016 B Exec VP, CFO December 2016 C President, Clinton Hospital Assoc. December 2016 C SVP, Chf of Staff &Chf Mktg Ofc December 2016 C Sr VP, Community Practices December 2016 C VP/Chief Financial Officer Med Center December 2016 C VP, Chief Corporate Compliance December 2016 C VP of Finance/Corp Controller December 2016 C Sr VP, Operations (UMMMC) December 2016 C Sr VP, Operations (UMMMC) December 2016 C Sr VP, Chief Facilities Officer December 2016 C Sr VP, Operations (UMMMC) December 2016 C SVP, Pop Hlth & President, ACO December 2016 C Sr VP, General Counsel-PGL December 2016 C Sr VP, Chief Info Officer December 2016 C Sr VP, Chief HR Officer December 2016 C Exec VP, COO December 2016 C President, HealthAlliance December 2016 C President, Marlborough Hospital December 2016 C President, Communty HlthLink December 2016 Form 990, Part VI, Line 19 Required documents available to the public 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. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net assets released from restrictions for operations - 326939; Transfers (to) from related parties - XXX-XX-XXXX; Temporary Restricted Expenditures - -8201590; Change in the present value of annuity - -368068; Pledges written off - -15000; Transfer out of the endowment - -2336395; Form 990, Part XII, Line 2c Change of oversight process or selection process THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM ON A CONSOLIDATED BASIS. THE ORGANIZATION HAS AN AUDIT COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT PUBLIC ACCOUNTING FIRM. THE PARENT IS INCLUDED IN UMASS MEMORIAL HEALTH CARE INC AND AFFILIATE'S CONSOLIDATED FINANCIAL STATEMENTS. Form 990, Part VI, Line 8a and 8b The organization documents 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. Part VII Section A Various board titles David L. Bennett Director, UMass Memorial Health Care, Inc. Douglas S. Brown PRESIDENT,UMMH & CAO/CLO,UMMHC Secretary, UMass Memorial Health Care, Inc. Edward D'Alelio Director, UMass Memorial Health Care, Inc. Edward J. Parry, III Director, UMass Memorial Health Care, Inc. Elvira Guardiola Director, UMass Memorial Health Care, Inc. Eric W. Dickson, MD President & CEO, UMass Memorial Health Care, Inc. Director, UMass Memorial Health Care, Inc. Harris L. MacNeill Director, UMass Memorial Health Care, Inc. Jack Wilson Director, UMass Memorial Health Care, Inc. Katharine Bolland Eshghi SR VP, GENERAL COUNSEL-PGL Assistant Secretary, UMass Memorial Health Care, Inc. Lynda M. Young, MD Director, UMass Memorial Health Care, Inc. Mary Ellen McNamara Director, UMass Memorial Health Care, Inc. Michael Collins, MD Director, UMass Memorial Health Care, Inc. O. Nsidinanya Okike, MD PATIENT EXPERIENCE OFFICER Director, UMass Memorial Health Care, Inc. Paul Kangas Director, UMass Memorial Health Care, Inc. Paulette Seymour-Route, Ph.D. Director, UMass Memorial Health Care, Inc. Peter Knox Director, UMass Memorial Health Care, Inc. Raymond Pawlicki Director, UMass Memorial Health Care, Inc. Richard K. Bennett Director, UMass Memorial Health Care, Inc. Richard Siegrist Chairperson, UMass Memorial Health Care, Inc. Robert W. Finberg, MD CLINICAL DEPARTMENT CHAIR Director, UMass Memorial Health Care, Inc. Sergio Melgar EXEC VP, CFO Treasurer, UMass Memorial Health Care, Inc. Terence Flotte, MD Director, UMass Memorial Health Care, Inc. Other disclosure notice attached An insurance company refunded a premium payment of $15,103.46 in error to the President and CEO/Director in calendar 2016. This was identified and corrected in calendar year 2017. For 409(A) compliance purposes, § 409A Relief Under § VI.B of Notice 2008-113 is attached to this return. The Clinton Hospital Association 201 Highland Street Clinton MA 01510 041185520 Hospital MA 501(c)(3) 3 NA false HealthAlliance Hospitals Inc 60 Hospital Road Leominster MA 01453 042103555 Hospital MA 501(c)(3) 3 NA false Marlborough Hospital 157 Union Street Marlborough MA 01752 042104693 Hospital MA 501(c)(3) 3 NA false Community Healthlink Inc 72 Jaques Avenue Worcester MA 01610 042626179 Health services MA 501(c)(3) 10 NA false UMass Memorial Realty Inc 306 Belmont Street Worcester MA 01604 042805630 Real estate MA 501(c)(3) 10 NA false UMass Memorial Medical Group Inc 306 Belmont Street Worcester MA 01604 042911067 Health services MA 501(c)(3) 10 NA false HealthAlliance Home Health and Hospice Inc 25 Tucker Road Leominster MA 01453 042932308 Health services MA 501(c)(3) 10 NA false Central New Enqland HealthAlliance Inc 60 Hospital Road Leominster MA 01453 043172496 Health services MA 501(c)(3) 10 NA false Coordinated Primary Care Inc 60 Hospital Road Leominster MA 01453 043210002 Health services MA 501(c)(3) 10 NA false UMass Memorial Community Hospitals Inc 306 Belmont Street Worcester MA 01604 043296271 Health services MA 501(c)(3) 10 NA false UMass Memorial Medical Center Inc 306 Belmont Street Worcester MA 01604 043358564 Hospital MA 501(c)(3) 3 NA false UMass Memorial Behavioral Health System Inc 306 Belmont Street Worcester MA 01604 043374724 Health services MA 501(c)(3) 10 NA false UMass Memorial Health Ventures Inc 306 Belmont Street Worcester MA 01604 222605679 Health services MA 501(c)(3) 10 NA false UMass Memorial Accountable Care Organization Inc 306 Belmont Street Worcester MA 01604 462871359 Health services MA 501(c)(3) 10 NA false UMass Memorial Health Care Inc (Group Return) 306 Belmont Street Worcester MA 01604 912155626 Health services MA 501(c)(3) 3 NA false UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP ONE BIOTECH PARK 365 PLANTATION ST WORCESTER MA 01604 043530755 INVESTMENT MANAGEMENT MA NA Excluded 298825634 false true 0.5582 COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD CAPTIVE INSURANCE COMPANY CJ UMass Memorial Health Care Inc (Parent) C Corporation 8276608 152702826 1.00 true false true false false false false false false false false true true true false false true true false true UMass Memorial Medical Center Inc M 221779 Fair Value UMass Memorial Medical Group Inc M 5046165 Fair Value Community HealthLink Inc M 169650 Fair Value UMass Memorial Realty Inc K 6811156 Fair Value UMass Memorial Accountable Care Organization Inc M 3100000 Fair Value UMass Memorial Medical Center Inc B 2138494 Fair Value UMass Memorial Medical Group Inc B 791384 Fair Value Commonwealth Professional Assurance Company LTD M 9244992 Fair Value The Clinton Hospital Association B 311526 Fair Value UMass Memorial Medical Center Inc Q 175550274 Fair Value UMass Memorial Medical Group Inc Q 57890020 Fair Value Marlborough Hospital Q 5013667 Fair Value UMass Memorial Accountable Care Organization Inc Q 1076170 Fair Value Central New England Health Alliance Inc Q 12483113 Fair Value UMass Memorial Realty Inc Q 293688 Fair Value Community HealthLink Inc Q 752508 Fair Value Commonwealth Professional Assurance Company LTD P 29136929 Fair Value UMass Memorial Medical Center Inc S 137008863 Fair Value UMass Memorial Medical Group Inc S 1677394 Fair Value