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

View the entire original 990 at ProPublica ↗

Organization
UMASS MEMORIAL HEALTH CARE INC (EIN 04-3358566)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-08
IRS object ID
201412209349300336
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

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

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042684828EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN043358566EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UMASS MEMORIAL HEALTH CARE INC (PARENT)BusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUMASNameControl
Phone5083340496Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameSERGIO MELGARName
TitleEVP/CFO/TREASURERTitle
Phone5088568537Phone
Date Signed2014-07-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

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

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1306 BELMONT STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01604ZIPCode
FieldValueIRS element (for citing)
Gross Receipts256422396GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number3642GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.UMASSMEMORIAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionUMASS 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI-199TotalGrossUBI
Net Unrelated Business Txbl Income-199NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3233936ContributionsGrantsPriorYear
Contributions Grants Current Year991457ContributionsGrantsCurrentYear
Program Service Revenue Prior Year190420787ProgramServiceRevenuePriorYear
Program Service Revenue CY197317139ProgramServiceRevenueCY
Investment Income Prior Year-1590881InvestmentIncomePriorYear
Investment Income Current Year8975946InvestmentIncomeCurrentYear
Other Revenue Prior Year2829358OtherRevenuePriorYear
Other Revenue Current Year2668410OtherRevenueCurrentYear
Total Revenue Prior Year194893200TotalRevenuePriorYear
Total Revenue Current Year209952952TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1000000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year1127995TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year-52694TotalFundrsngExpCurrentYear
Other Expense Prior Year220325900OtherExpensePriorYear
Other Expenses Current Year226226308OtherExpensesCurrentYear
Total Expenses Prior Year221453895TotalExpensesPriorYear
Total Expenses Current Year227226308TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-26560695RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-17273356RevenuesLessExpensesCY
Total Assets BOY206354442TotalAssetsBOY
Total Assets EOY235888083TotalAssetsEOY
Total Liabilities BOY87390521TotalLiabilitiesBOY
Total Liabilities EOY67557754TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY118963921NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY168330329NetAssetsOrFundBalancesEOY
Mission DescriptionUMASS 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4558795Expense
Grants1000000Grants
Revenue198421636Revenue
DescriptionTO 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.Description
Total Program Service Expense4558795TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (45 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
DICKSON ERIC W MD
PRESIDENT & CEO, UMASS MEMORIAL HEALTH CARE, INC.40.00XX0545340168423
FINBERG ROBERT W MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.20.00X0299143159525
O'BRIEN JOHN G
PRESIDENT & CEO UNTIL 2/25/13, UMASS MEMORIAL HEAL40.00XX04053252720966
OKIKE O NSIDINANYA MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.40.00X052290442755
SEYMOUR-ROUTE PAULETTE PHD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.40.00X0419828614
BENNETT DAVID L
CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BENNETT RICHARD K
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BERKEY DENNIS D
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BERRY SARAH G
EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BUDD JOHN H
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
COLLINS MICHAEL MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
CORNELL LOIS D
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
D'ALELIO EDWARD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
DAVIS DIX F
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
FLOTTE TERENCE MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
JACOBSON M HOWARD
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
KANGAS PAUL
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
KNOX PETER
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
LENHARDT STEPHEN W SR
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MACNEILL HARRIS L
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MCMULLEN CYNTHIA M EDD
EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MCNAMARA MARY ELLEN
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
PARRY EDWARD J III
VICE CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
PEDERSON THORU
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
SIEGRIST RICHARD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
SIMMONS IRINA
DIRECTOR UNTIL 2/2013, UMASS MEMORIAL HEALTH CARE,1.00X000
WILSON JACK
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
YOUNG LYNDA M
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BROWN DOUGLAS S
SECRETARY, UMASS MEMORIAL HEALTH CARE, INC.40.00X0531712218497
KEATING TODD A
TREASURER & CFO, DIRECTOR, UMASS MEMORIAL HEALTH C40.00X0606611292549
ANDERSON MILTON C
SR. VP, CHIEF HR OFFICER40.00052991288069X
BLUTE MICHAEL MD
DIRECTOR, UNTIL 3/31/12, CANCER CENTER OF EXCELLEN40.000141719133970X
BOLLAND ESHGHI KATHARINE
VP, DEPUTY GENERAL COUNSEL40.00033869567056X
BRENCKLE GEORGE PHD
SR. VP, CHIEF INFORMATION OFFICER40.000385261164172X
CYR JAMES P
SR. VP, HEART AND VASCULAR DISEASES40.00026630941819X
DALEY JENNIFER MD
EXECUTIVE VP, CHIEF OPERATING OFFICER, UNTIL 3/18/40.000593638919806X
DIAMOND VICTORIA
SR. VP, OPERATIONS40.000379990174782X
ETTINGER WALTER H MD
PRESIDENT - MEDICAL CENTER UNTIL 1/20/1240.000128625249000X
FISHER BARBARA
SR. VP, OPERATIONS40.000336028140830X
HUDLIN MARGARET MD
CHIEF MEDICAL OFFICER/VP PERIOPERATIVE SVCS.40.00033378036178X
HYLKA SHARON
SR. VP, HOSPITAL ADMIN.40.000420176284804X
KLUGMAN ROBERT MD
CHIEF QUALITY OFFICER40.000501084284146X
KRUGER NANCY
SR. VP, CHIEF NURSING OFFICER, UNTIL 6/29/1240.00031980668870X
PHILLIPS ROBERT A MD
MED DIR, HEART & VASCULAR COE, UNTIL 6/7/1340.000844144302160X
RANDOLPH JOHN T
VP, CHIEF COMPLIANCE OFFICER40.000248138171007X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs12330465TotalReportableCompFrmRltdOrgs
Total Other Compensation4757998TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
XEROX BUSINESS SERVICES LLC
PO BOX 201322DALLASTX75320I/S MANAGEMENT SERVICES28483966
MCKINSEY & CO INC
PO BOX 7247-7255PHILADELPHIAPA181707255CONSULTING SERVICES11625000
DELOITTE COUNSELING
PO BOX 7247-6447PHILADELPHIAPA191706447CONSULTING SERVICES4158640
NUANCE TRANSCRIPTION SERVICES
PO BOX 7247-7343PHILADELPHIAPA19170TRANSCRIPTION SERVICES2970994
UNIVERSAL HOSPITAL SERVICES INC
PO BOX 86MINNEAPOLISMN55486MANAGING/SERVICING EQUIPMENT2796234
FieldValueIRS element (for citing)
Number Of Contractors GT100 K35NumberOfContractorsGT100K
All Other Contributions991457AllOtherContributions
Noncash Contributions32356NoncashContributions
Total Contributions991457TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SYSTEM ALLOCATION REVE561000161874538161874538
AFFILIATE RELATED PROG5610003423495434234954
OTHER PSR56100012076471207647
FieldValueIRS element (for citing)
Total Program Service Revenue197317139TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3641806TotalRevenueColumn
Unrelated Business Revenue-199UnrelatedBusinessRevenue
Exclusion$3,642,005ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities51326903Securities
Other7593Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities46000356Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5326547Securities
Other7593Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5334140TotalRevenueColumn
Exclusion$5,334,140ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events909536GrossIncomeFundraisingEvents
Fundraising Direct Expenses469088FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column440448TotalRevenueColumn
Exclusion$440,448ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISCELLANEOUS INCOME56100011044971104497
SUBLEASE INCOME5610001050278$1,050,278
FieldValueIRS element (for citing)
Total Other Revenue2154775TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column209952952TotalRevenueColumn
Related Or Exempt Function Income198421636RelatedOrExemptFunctionIncome
Unrelated Business Revenue-199UnrelatedBusinessRevenue
Exclusion$10,540,058ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1000000Total
Program Services1000000ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1777634Total
Management And General1777634ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total924319Total
Management And General924319ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total272828Total
Program Services272828ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total352251Total
Management And General352251ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5319430Total
Management And General5319430ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1500467Total
Management And General1500467ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total14796284Total
Management And General14796284ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5742222Total
Management And General5742222ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total292465Total
Program Services6083ProgramServices
Management And General286382ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total415Total
Program Services9ProgramServices
Management And General406ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total28116316Total
Management And General28116316ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES1605239631509751159066906-52694
PROFESSIONAL SERVICES3063149629773000172
OTHER DIRECT EXPENSES1311353507384803969
PROGRAM EXPENDITURES950944950944

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1282268Total
Program Services248819ProgramServices
Management And General1033449ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total227226308Total
Program Services4558795ProgramServices
Management And General222720207ManagementAndGeneral
Fundraising-52694Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6258287BOY
EOY1605671EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4116306BOY
EOY1713574EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY646353BOY
EOY427410EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4075715BOY
EOY836339EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5006375BOY
EOY3961216EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis0LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6216BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY146334969BOY
EOY179557937EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY37033173BOY
EOY31861953EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY120000BOY
EOY120000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2757048BOY
EOY15803983EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY206354442BOY
EOY235888083EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY32175180BOY
EOY28444272EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY412679BOY
EOY97284EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY54802662BOY
EOY39016198EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY87390521BOY
EOY67557754EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY60533111BOY
EOY108049666EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY32219971BOY
EOY34337443EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY26210839BOY
EOY25943220EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY118963921BOY
EOY168330329EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY206354442BOY
EOY235888083EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-17273356ReconcilationRevenueExpenses
Reconciliation Unrealized Invest10455667ReconciliationUnrealizedInvest
Reconcilation Other Changes56184097ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1UMASS MEMORIAL MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN043358564EIN
Type Of Organization03TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$32,828GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$240,000RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB272828TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance38224612BeginningOfYearBalance
Investment Earnings Or Losses2507314InvestmentEarningsOrLosses
Other Expenditures1625730OtherExpenditures
End Of Year Balance39106196EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance34479956BeginningOfYearBalance
Contributions1198886Contributions
Investment Earnings Or Losses3963333InvestmentEarningsOrLosses
Other Expenditures1417563OtherExpenditures
End Of Year Balance38224612EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance36676864BeginningOfYearBalance
Contributions158165Contributions
Investment Earnings Or Losses-936731InvestmentEarningsOrLosses
Other Expenditures1418342OtherExpenditures
End Of Year Balance34479956EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance34701644BeginningOfYearBalance
Contributions622721Contributions
Investment Earnings Or Losses1795326InvestmentEarningsOrLosses
Other Expenditures442827OtherExpenditures
End Of Year Balance36676864EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance34201797BeginningOfYearBalance
Contributions76330Contributions
Investment Earnings Or Losses-5733InvestmentEarningsOrLosses
Other Expenditures-429250OtherExpenditures
End Of Year Balance34701644EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.66000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.34000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities (9 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TIFF ABSOLUTE RETURN POOL CLASS A (SHARES 2,878)12523844F
TIFF PRIVATE EQUITY PARTNERS 2006/2007 (SHARES 1,286,870)1221651F
FRANK RUSSELL GLOBAL PRIVATE EQUITY FUND (SHARES 227,704)180861F
MPPLTD PORTFOLIO CLASS A (SHARES 1,979)83401F
AETOS CAPITAL LONG/SHORT STRATEGIES (SHARES 32,440)3519672F
AETOS CAPITAL DISTRESSED STRATEGIES (SHARES 10,687)1547604F
AETOS CAPITAL MULTI-STRATEGY ARBITRAGE (SHARES 17,848)2179487F
TIFF ABSOLUTE RETURN POOL CLASS C (SHARES 1,773)3548924F
BENEFICIAL INTEREST7056509F
FieldValueIRS element (for citing)
Total Of Book Value Securities31861953TotalOfBookValueSecurities

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
CASH VALUE OF LIFE INSURANCE POLICIES30897
DUE FROM RELATED PARTIES15718125
OTHER NON-CURRENT ASSETS54961
FieldValueIRS element (for citing)
Total Book Value Other Assets15803983TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
O/S LOSS RESERVES$32,603,135
DUE TO RELATED PARTIES$1,099,897
ANNUITY PAYABLE$3,235,444
THIRD PARTY LIABILITES$100,013
DUE TO UNIVERSITY OF MASS$1,977,709
FieldValueIRS element (for citing)
Total Of Amounts39016198TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt227344000TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments13400948NetUnrealizedGainsInvestments
Other Revenues7491285OtherRevenues
Revenue Not Rptd F99020892233RevenueNotRptdF990
Revenue Subtotal206451767RevenueSubtotal
Investment Expenses Not Included352251InvestmentExpensesNotIncluded
Other Revenues Not Included3148934OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3501185RevenueNotRptdOnFinStmt
Total Revenue Per Form990209952952TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt233037000TotExpensesEtcAuditedFinclStmt
Other Expenses Included6162943OtherExpensesIncluded
Expenses Not Rptd F9906162943ExpensesNotRptdF990
Expenses Subtotal226874057ExpensesSubtotal
Investment Expenses Not Included2352251InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt352251ExpensesNotRptdOnFinStmt
Total Expenses Per Form990227226308TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:PARENT - THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE DIRECTED IN ACCORDANCE WITH THE DONOR'S INTENT INCLUDING THE PRESERVATION OF THE ORIGINAL GIFT AND VARIOUS PURPOSES INCLUDING CHARITY CARE, MEDICAL EDUCATION, RESEARCH, HEALTH CARE SERVICES, BUILDINGS AND EQUIPMENT.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:FIN 48 FOOTNOTE: INCOME TAXES - UMASS MEMORIAL FOLLOWS A TWO-STEP APPROACH FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. THE SUBSTANTIAL MAJORITY OF UMASS MEMORIAL AND ITS AFFILIATE ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THESE ENTITIES WILL NOT INCUR ANY LIABILITY FOR FEDERAL INCOME TAXES EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME. CERTAIN AFFILIATES ARE TAXABLE ENTITIES. THE MEASUREMENT OF THE AMOUNTS RECORDED AS A PROVISION FOR INCOME TAXES BASED UPON THE AFOREMENTIONED APPROACH IS NOT MATERIAL AND IS RECORDED AS PART OF SUPPLIES AND OTHER EXPENSE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS OF OPERATIONS. UMASS MEMORIAL DOES NOT BELIEVE IT HAS TAKEN ANY SIGNIFICANT UNCERTAIN TAX POSITIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CO. 99E CPAC/PARENT ELIMS -24,387,000. CPAC 29,467,000. NARFR FROM OPS 2,410,342. ROUNDING 943.
PART XI, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES -469,088. FUNDRAISING REVENUE 909,536. INVESTMENT INCOME TEMP RESTRICTED 579,347. REALIZED G/L TEMP RESTRICTED 1,763,512. TEMP RESTRICTED REVENUE -368,913. TEMP RESTRICTED REVENUE 734,540.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CO. 99E CPAC/PARENT ELIMS -24,387,000. CPAC 30,549,000. ROUNDING 943.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualUMASS MEMORIAL FOUNDATION INCNameOfIndividual

Address US AddressUS

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

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WINTER BALLNameOfEvent1
Gross Receipts Event1678157GrossReceiptsEvent1
Gross Revenue Event1678157GrossRevenueEvent1
Other Direct Expenses Event1369422OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event2125823GrossReceiptsEvent2
Gross Revenue Event2125823GrossRevenueEvent2
Other Direct Expenses Event241243OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events105556GrossReceiptsOtherEvents
Gross Revenue Other Events105556GrossRevenueOtherEvents
Other Direct Expenses Other Events58423OtherDirectExpensesOtherEvents
Gross Receipts Total909536GrossReceiptsTotal
Gross Revenue Total Events909536GrossRevenueTotalEvents
Other Direct Expenses Total Events469088OtherDirectExpensesTotalEvents
Direct Expense Summary Events469088DirectExpenseSummaryEvents
Net Income Summary440448NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF FUNDRAISING PAYMENTSIdentifier
Return ReferenceSCHEDULE G, PART I, LINE 2B, COLUMN (V)ReturnReference
ExplanationPART I, LINE 2B, COLUMN (III) UMASS MEMORIAL FOUNDATION, INC. IS IDENTIFIED AS THE ADMINISTRATOR OF THE PHILANTHROPIC ACTIVITIES OF THE REPORTING ENTITIES OF UMASS MEMORIAL HEALTH CARE, INC. THIS INCLUDES THE COORDINATION OF ALL CHARITABLE WORK AND THE MANAGEMENT OF OFFICE OPERATIONS TO SUPPORT FUNDRAISING INCLUDING THE FOLLOWING PROCEDURES: 1) ACTIVE DEVELOPMENT WORK 2) DONOR RELATIONS AND COMMUNICATIONS 3) SERVICES TO UMASS MEMORIAL STAFF 4) CONTRIBUTION REPORTS, DONOR RECORD FILES 5) TRANSFER OF CONTRIBUTIONS RECEIVED (CONTRIBUTIONS RECEIVED BY THE FOUNDATION THAT ARE DELEGATED TO A UMASS MEMORIAL REPORTING ENTITY ARE DEPOSITED INTO A DESIGNATED ACCOUNT OF THE RESPECTIVE REPORTING ENTITY UPON RECEIPT.) 6) EXPENDITURES OF CONTRIBUTIONS PART I, LINE 2B, COLUMN (V) UMASS MEMORIAL HEALTH CARE, INC. PAYS UMASS MEMORIAL FOUNDATION, INC. ITS PRORATA SHARE OF OPERATING EXPENSES BASED ON THE SPLIT OF UMASS MEMORIAL CONTRIBUTION RECEIPTS VERSUS THE OVERALL TOTAL CONTRIBUTION RECEIPTS AS COLLECTED BY THE FOUNDATION. PART II, COLUMN (C) THE 3 EVENTS REPORTED IN COLUMN (B) ARE: 1) LINKS GOLF TOUR 2) STAR GALA 3) PINK LIGHTING THE WAYExplanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF MA MED SCHOOLBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line155 LAKE AVE NAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01655ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient043167352EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant1000000AmountOfCashGrant
Purpose Of GrantACADEMIC CHAIR FUNDINGPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DICKSON ERIC W MD
PRESIDENT & CEO, UMASS MEMORIAL HEAL0419373010362002234701110230574000713763020844
FINBERG ROBERT W MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE0246772052371000129892029633045866800
O'BRIEN JOHN G
PRESIDENT & CEO UNTIL 2/25/13, UMASS094144802323360287946807022300187360477421802416000
OKIKE O NSIDINANYA MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE045157207133200012750030005056565900
BROWN DOUGLAS S
SECRETARY, UMASS MEMORIAL HEALTH CAR0396070010026603537601951530233440750209035376
KEATING TODD A
TREASURER & CFO, DIRECTOR, UMASS MEM047210508931304519302696030229460899160045193
ANDERSON MILTON C
SR. VP, CHIEF HR OFFICER03978570102510029545053932034137061798100
BLUTE MICHAEL MD
DIRECTOR, UNTIL 3/31/12, CANCER CENT014171900000121712012258027568900
BOLLAND ESHGHI KATHARINE
VP, DEPUTY GENERAL COUNSEL026347607521900046099020957040575100
BRENCKLE GEORGE PHD
SR. VP, CHIEF INFORMATION OFFICER029917205379903229001387320254400549433032290
CYR JAMES P
SR. VP, HEART AND VASCULAR DISEASES021694104936800020862020957030812800
DALEY JENNIFER MD
EXECUTIVE VP, CHIEF OPERATING OFFICE0471116085618036904088750503230101513444036904
DIAMOND VICTORIA
SR. VP, OPERATIONS025888707374104736201461960285860554772047362
ETTINGER WALTER H MD
PRESIDENT - MEDICAL CENTER UNTIL 1/2053421000752040247254017460377625070554
FISHER BARBARA
SR. VP, OPERATIONS024755106235602612101185450222850476858026121
HUDLIN MARGARET MD
CHIEF MEDICAL OFFICER/VP PERIOPERATI024430308947700012913023265036995800
HYLKA SHARON
SR. VP, HOSPITAL ADMIN.030380608041203595802638470209570704980035958
KLUGMAN ROBERT MD
CHIEF QUALITY OFFICER038817107658003633302606370235090785230036333
KRUGER NANCY
SR. VP, CHIEF NURSING OFFICER, UNTIL02232330510840454890527730160970388676027847
PHILLIPS ROBERT A MD
MED DIR, HEART & VASCULAR COE, UNTIL06013620172241070541029211201004801146304070541
RANDOLPH JOHN T
VP, CHIEF COMPLIANCE OFFICER0195361052777000148090022917041914500

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ASPLIT DOLLAR GROSS UP CALCULATIONS TO WALTER ETTINGER ARE TREATED AS TAXABLE COMPENSATION
PART I, LINE 4BNAME OF PARTICIPANTS IN OR RECEIVING PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN EXECUTIVES BROWN, DOUGLAS S. $35,376 DICKSON, ERIC W., M.D. $20,844 FINBERG, ROBERT W., M.D. $0 KEATING, TODD A. $45,193 O'BRIEN, JOHN G. $0 SUBTOTAL EXECUTIVES $101,413 KEY EMPLOYEES ANDERSON, MILTON C. $0 BLUTE, MICHAEL, M.D. $0 BRENCKLE, GEORGE, PH.D. $32,290 BOLLAND ESHGHI, KATHERINE $0 CYR, JAMES P. $0 DALEY, JENNIFER, M.D. $36,904 DIAMOND, VICTORIA $47,362 ETTINGER, WALTER H., M.D. $70,554 FISHER, BARBARA $26,121 HUDLIN, MARGARET, M.D. $0 HYLKA, SHARON $35,958 KLUGMAN, ROBERT, M.D. $36,333 KRUGER, NANCY $27,847 PHILLIPS, ROBERT A., M.D. $70,541 RANDOLPH, JOHN $0 SUBTOTAL KEY EMPLOYEES $383,910 TOTAL - ALL $485,323
PART IIIOFFICERS, DIRECTORS AND HIGHEST COMPENSATED EMPLOYEES THAT RECEIVE COMPENSATION FROM UNRELATED ORGANIZATION FOR SERVICES: THE OFFICERS, DIRECTORS AND HIGHEST COMPENSATED EMPLOYEES LISTED IN PART II THAT RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION WERE PAID FOR THEIR SERVICES RELATED TO MEDICAL RESEARCH, EDUCATION OF MEDICAL STUDENTS AND RESIDENT TRAINING. AMOUNTS INCLUDE THEIR BASE COMPENSATION AND DEFERRED COMPENSATION FOR CALENDAR YEAR 2012. THE NAME OF THE UNRELATED ORGANIZATION IS UMASS MEDICAL SCHOOL. NAME TOTAL COMPENSATION FINBERG, ROBERT W., M.D. $297,641 TOTAL COMPENSATION FROM UNRELATED ORGANIZATION $297,641 PART II - DISCLOSURES 1) DURING CY12 THE MAJORITY OF THE AMOUNT REPORTED IN JOHN O'BRIEN'S COLUMN C - COMPENSATION ($2,733,454) WAS DUE TO A PAYOUT OF RETIREMENT FUNDS REPRESENTING THE CULMINATION OF MANY YEARS OF RETIREMENT CONTRIBUTIONS, WHICH WERE PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THOSE PRIOR YEARS. 2) JOHN O'BRIEN'S RETIREMENT AND OTHER DEFERRED COMPENSATION AMOUNT INCLUDES A CONTINGENT DEFERRED COMPENSATION ACCRUAL OF $626,633 WHICH REMAINS THE PROPERTY OF UMASS MEMORIAL UNTIL THE TERMS OF THE DEFERRED AGREEMENT IS FULFILLED. 3) THE ABOVE DIRECTORS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ROBERT KLUGMAN MD
KEY EMPLOYEE209777RENTAL OF PROPERTY - EXPENSE0
ERIC W DICKSON MD
BOD - PARENT, MED CTR, MED GRP, VENTURES, CRIR, CMMIC130000INDEPENDENT CONTRACTOR ARRANGEMENT0
WILLIAM F SULLIVAN SR
BOD - CMMIC, LABS, VENTURES, CRIR254656INDEPENDENT CONTRACTOR ARRANGEMENT0
JOHN BUDD
BOD - PARENT, MED CTR, LABS, VENTURES, CRIR, CMMIC586332INDEPENDENT CONTRACTOR ARRANGEMENT0
KATHLEEN HYLKA
UMM CAPITAL PLANNING, FAMILY MEMBER OF SHARON HYLKA, KEY EMPLOYEE98045EMPLOYMENT ARRANGEMENT0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1256NumberOfContributions
Noncash Contribs Rptd F99032356NoncashContribsRptdF990
Method Of Determining RevenuesFMV/SELL PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2UMMHC 2012 BUDD, JOHN (BOARD MEMBER) HAS BUSINESS RELATIONSHIPS WITH PAUL D'ONFRO & ARTHUR BERGERON. PHILLIPS, ROBERT (KEY EMPLOYEE) HAS A FAMILY RELATIONSHIP WITH JULIA ANDRIENI
FORM 990, PART VI, SECTION A, LINE 6THERE ARE NO CLASSES OF DIRECTORS. THE VOTING RIGHTS OF EACH MEMBER'S BOARD ARE ABSOLUTE.
FORM 990, PART VI, SECTION A, LINE 7ATHE MAJORITY OF ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (WHICH IS ALSO WITHIN THE CONSOLIDATED GROUP) THAT ELECTS THE BOARD OF TRUSTEES. THERE ARE NO CLASSES OF TRUSTEES. THE MAJORITY OF THE ENTITIES RESERVE TO THE MEMBER THE POWER TO REMOVE TRUSTEES, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BTHE MAJORITY OF THE ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (WHICH IS ALSO WITHIN THE CONSOLIDATED GROUP) WITH THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ENTITY, WHICH IS EXERCISED BY THAT MEMBER'S BOARD OF TRUSTEES. THERE ARE NO CLASSES OF TRUSTEES OR MEMBERS. THUS, THE VOTING RIGHTS OF A MEMBER BOARD ARE ABSOLUTE. GENERALLY, THE SOLE MEMBER OF EACH ENTITY RESERVES THE POWER TO APPROVE MAJOR TRANSACTIONS; TO MERGE, CONSOLIDATE OR LIQUIDATE THE CORPORATION'S ASSETS; TO ADOPT ANNUAL OPERATING AND CAPITAL BUDGETS AND AMENDMENTS; TO ENTER INTO LOAN AGREEMENTS AND/OR GUARANTIES; TO APPOINT AND/OR ELECT THE PRESIDENT AND/OR CEO; TO ELECT AND/OR APPOINT AND REMOVE TRUSTEES, FILL VACANCIES, TO INCREASE OR DECREASE THE SIZE OF THE BOARD; AND TO APPROVE UNBUDGETED EXPENDITURES.
FORM 990, PART VI, SECTION B, LINE 11SECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD. THE COMPLIANCE COMMITTEE OF THE BOARD REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990, INCLUDING THE ABOVE SCHEDULES AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL. THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS AND MANAGEMENT TO COMPLETE ANNUAL DISCLOSURE STATEMENTS AND, TO UPDATE THESE DISCLOSURE STATEMENTS FOR SIGNIFICANT CHANGES IN THEIR OUTSIDE GOVERNANCE AND PROFESSIONAL ACTIVITIES OR, FINANCIAL RELATIONSHIPS AS APPROPRIATE. ADDITIONALLY, ALL TRANSACTIONS INVOLVING BOARD MEMBERS OR MANAGEMENT AND THE ORGANIZATION ARE REQUIRED TO BE APPROVED BY THE COMPLIANCE COMMITTEE OF THE BOARD AND, THERE IS ACTIVE MONITORING AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH DECISIONS.
FORM 990, PART VI, SECTION B, LINE 15AT UMASS MEMORIAL, ALL COMPENSATION MATTERS FOR THE CEO AND SENIOR EXECUTIVES THROUGHOUT THE SYSTEM (INCLUDING ALL "DISQUALIFIED PERSONS") ARE GOVERNED AND OVERSEEN BY THE BOARD OF TRUSTEES OF THE PARENT. THE BOARD APPROVED A COMPENSATION PHILOSOPHY THAT GOVERNS ALL SUCH DECISIONS. THE PHILOSOPHY INCLUDES THE OBJECTIVES OF THE PROGRAM, COMPONENTS OF EXECUTIVE COMPENSATION, THE RELEVANT MARKET, POSITIONING IN THE MARKET, FACTORS CONSIDERED IN SETTING EXECUTIVE COMPENSATION AND THE IMPORTANCE OF TYING SUCH COMPENSATION TO PERFORMANCE. THE BOARD ESTABLISHED A COMPENSATION COMMITTEE, MADE UP OF DISINTERESTED TRUSTEES, WHO ARE GIVEN THE AUTHORITY TO ESTABLISH COPMENSATION FOR ALL SENIOR EXECUTIVES, WITHIN THE PARAMETERS OF THE PHILOSOPHY, AND WITH FULL AND COMPLETE REPORTING TO THE FULL BOARD. THE COMPENSATION COMMITTEE PERFORMS ITS WORK PURSUANT TO ITS CHARTER AND A COPMENSATION POLICY THAT ESTABLISHES THE PROCESS THE COMMITTEE WILL FOLLOW IN REVIEWING AND APPROVING EXECUTIVE COMPENSATION EACH YEAR. THE COMMITTEE ENSURES THAT ITS PROCESS MEETS THE REBUTABLE PRESUMPTION OF REASONABLENESS ESTABLISHED BY THE IRS. IN ORDER TO ASSIST THE COMMITTEE IN ITS RESPONSIBILITIES, THE COMPENSATION COMMITTEE HIRES INDEPENDENT, OUTSIDE COMPNESATION CONSULTANTS TO ADVICE THE COMMITTEE AND THE BOARD ON THE REASONABLENESS OF OVERALL EXECUTIVE COMPENSATION PROGRAM, INCLUDING COMPENSATION OF THE SPECIFIC EXECUTIVES. THESE CONSULTANTS REPORT DIRECTLY TO THE COMMITTEE AND NOT TO MANAGEMENT. THE COMMITTEE WORKS WITH THESE CONSULTANTS, AND WITH LEGAL COUNSEL, TO ENSURE THAT ALL COMPENSATION PAID, AS WELL AS THE PROCESS FOLLOWED TO DETERMINE SUCH COMPENSATION, IS REASONABLE, MEETS ALL REGULATORY REQUIREMENTS AND IS COMPETITIVE WITH THE RELEVANT MARKET.
FORM 990, PART VI, SECTION C, LINE 19UMASS 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:CHANGE IN BENEFICIAL INTEREST IN TRUSTS -267,620. MISCELLANEOUS 6,977. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 2,410,342. TEMPORARY RESTRICTED EXPENDITURES -4,378,319. TRANSFERS FROM RELATED PARTIES 58,412,717.CHANGES IN NET ASSETS OR FUND BALANCES:
PAGE 12, PART XI, LINE 2CTHE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM ON A CONSOLIDATED BASIS. THE ORGANIZATION HAS AN AUDIT COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT ACCOUNTING FIRM.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
UMASS MEMORIAL FOUNDATION INC
333 SOUTH STREETSHREWSBURYMA01545043108190FUNDRAISING SUPPORTMA501(C)(3)11CN/A0
HEALTH ALLIANCE REALTY CORPORATION
60 HOSPITAL ROADLEOMINSTERMA01473042560754REAL ESTATE MANAGEMENTMA501(C)(2)N/AN/A0

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP
ONE BIOTECH PARK 365 PLANTATION STWORCESTERMA01605043530755INVESTMENT MANAGEMENTMAN/AEXCLUDED 514427005674242440290-$42311.00000
UMASS MEMORIAL MARLBOROUGH MRI OF MARLBOROUGH LLC
157 UNION STREETMARLBOROUGHMA01752202293995MAGNETIC RESONANCE IMAGINGMARELATED554282337933000.56000MARLBOROUGH HOSPITAL
UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC
60 HOSPITAL ROADLEOMINSTERMA01453043561571MAGNETIC RESONANCE IMAGINGMAN/ARELATED9890291245441000.60000

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD
PO BOX 1051 GTGRAND CAYMANCJ980226143INSURANCECJN/AC60152431741151691.000000
MEMORIAL OFFICE CONDOMINIUM TRUST
046616900CONDOMINIUM ASSOCIATIONT4842550.536900306 BELMONT STREETWORCESTERMA01604MAUMASS MEMORIAL MEDICAL CENTER INC
BIO-LAB INC
042708828CLINICAL LABORATORYS69914210594051.000000215 WEST STREETMILFORDMA01757MAUMASS MEMORIAL HEALTH VENTURES INC
116 BELMONT ST INC CO APPLETON CORP
042717865CONDOMINIUM ASSOCIATIONC465970100.63040057 SUFFOLK STREETHOLYOKEMA01040MAUMM REALTY
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)

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

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