UMASS MEMORIAL HEALTH CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UMASS MEMORIAL HEALTH CARE INC (EIN 91-2155626)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-07-30
IRS object ID
201322119349300502
Schema version
2011v1.5
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)
Timestamp2013-07-30T07:18:28-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN912155626EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameTODD A KEATINGName
TitleTREASURER/CFOTitle
Phone5083340496Phone
Date Signed2013-07-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALAN GAROFALOName
PTINP00744592PTIN
Phone6177427788Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonTODD A KEATINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1306 BELMONT STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01604ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2874626472GrossReceipts
Group Return For Affiliates1GroupReturnForAffiliates
All Affiliates Included1AllAffiliatesIncluded
Group Exemption Number3642GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.UMASSMEMORIAL.ORGWebSite
Activity Or Mission DescriptionUMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH.ActivityOrMissionDescription
Nbr Voting Members Governing Body213NbrVotingMembersGoverningBody
Nbr Independent Voting Members125NbrIndependentVotingMembers
Total Nbr Employees16841TotalNbrEmployees
Total Nbr Volunteers1295TotalNbrVolunteers
Total Gross UBI37307329TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15191447ContributionsGrantsPriorYear
Contributions Grants Current Year18486920ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2528300113ProgramServiceRevenuePriorYear
Program Service Revenue CY2551874632ProgramServiceRevenueCY
Investment Income Prior Year18774670InvestmentIncomePriorYear
Investment Income Current Year-1602742InvestmentIncomeCurrentYear
Other Revenue Prior Year51218788OtherRevenuePriorYear
Other Revenue Current Year44638442OtherRevenueCurrentYear
Total Revenue Prior Year2613485018TotalRevenuePriorYear
Total Revenue Current Year2613397252TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2064000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2056000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1213599587SalariesEtcPriorYear
Salaries Etc Current Year1225466308SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year1602995TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY1213795TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2389283TotalFundrsngExpCurrentYear
Other Expense Prior Year1351659364OtherExpensePriorYear
Other Expenses Current Year1382216501OtherExpensesCurrentYear
Total Expenses Prior Year2568925946TotalExpensesPriorYear
Total Expenses Current Year2610952604TotalExpensesCurrentYear
Revenues Less Expenses Prior Year44559072RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2444648RevenuesLessExpensesCY
Total Assets BOY1872279772TotalAssetsBOY
Total Assets EOY2000206154TotalAssetsEOY
Total Liabilities BOY1275306773TotalLiabilitiesBOY
Total Liabilities EOY1364049191TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY596972999NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY636156963NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUMASS MEMORIAL HEATLH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1109058968Expense
Grants2000000Grants
Revenue1332125069Revenue
DescriptionUMASS MEMORIAL MEDICAL CENTERUMASS MEMORIAL MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. UMASS MEMORIAL MEDICAL CENTER DOES THIS BY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY.FY2012 KEY STATISTICS - TOTAL DISCHARGES: 41,454 TOTAL SURGICAL CASES: 30,344 TOTAL ER VISITS: 139,708Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense431924927Expense
Revenue471923684Revenue
DescriptionUMASS MEMORIAL MEDICAL GROUPTHE UMASS MEMORIAL MEDICAL GROUP IS A MULTISPECIALTY GROUP PRACTICE OF PHYSICIANS WHOSE MISSION AND PURPOSE IS TO SUPPORT THE CLINICAL, EDUCATIONAL, RESEARCH AND COMMUNITY SERVICE MISSIONS OF UMASS MEMORIAL HEALTH CARE AND UMASS MEMORIAL MEDICAL CENTER. UMASS MEMORIAL MEDICAL GROUP ACCOMPLISHES THIS MISSION BY PROVIDING MEDICAL CARE TO RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense297549686Expense
Revenue352491448Revenue
DescriptionUMASS MEMORIAL COMMUNITY HOSPITALS THE UMASS MEMORIAL COMMUNITY HOSPITALS (CLINTON HOSPITAL, HEALTH ALLIANCE HOSPITALS, INC., MARLBOROUGH HOSPITAL, WING MEMORIAL HOSPITAL AND MEDICAL CENTERS) ARE COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF THE COMMUNITIES THAT THEY SERVE THROUGH EXCELLENCE IN CLINICAL CARE AND SERVICE. EACH OF THESE HOSPITALS ACCOMPLISHES THIS GOAL BY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE RESIDENTS OF THEIR COMMUNITIES WITHOUT REGARD TO THEIR ABILITY TO PAY.FY2012 KEY STATISTICS - TOTAL DISCHARGES: 15,170 TOTAL SURGICAL CASES: 9,930 TOTAL ER VISITS: 129,041Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense335677948Expense
Grants56000Grants
Revenue396846429Revenue
DescriptionOTHER UMASS MEMORIAL ENTITIESUMASS 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 HEALTH CARE TO PATIENTS OF UMASS MEMORIAL. THEY ACCOMPLISH THIS THROUGH THE DELIVERY OF HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THEY ALSO ACCOMPLISH THIS BY PROVIDING SUPPORT, OVERSIGHT, ADMINISTRATIVE SERVICES OR PATIENT ADVOCACY SERVICES TO THE PATIENTS OF UMASS MEMORIAL, CENTRAL NEW ENGLAND, AND OTHER GEOGRAPHIES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp335677948TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt56000TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev396846429TotalOfOtherProgramServiceRev
Total Program Service Expense2174211529TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
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 Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961514NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees16841NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members213NbrVotingGoverningBodyMembers
Number Independent Voting Members125NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (154 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ANDRIENI JULIA MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.31.00X308439024012
BROWN ALAN P MD
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,31.00X191640033453
BROWN DOUGLAS S
SECRETARY, UMASS MEMORIAL HEALTH CARE, INC.40.00X5397680184108X
CARLUCCI DANIEL MD
DIRECTOR, MARLBOROUGH HOSPITAL32.00X329103041104
CAVAGNARO CHARLES III MD
PRESIDENT, WING MEMORIAL HOSPITAL40.00X3836880178162X
CHANDLER WILLIS
DIRECTOR UNTIL 12/31/11, CLINTON HOSPITAL ASSOCIAT40.00X348956098435
COFONE MICHAEL J
TREASURER, DIRECTOR, CENTRAL NEW ENGLAND HEALTHALL40.00X272415022721X
CORBETT WILLIAM MD
DIRECTOR, MARLBOROUGH HOSPITAL40.00X396884090620
DALY SHEILA
PRESIDENT, DIRECTOR, CLINTON HOSPITAL ASSOCIATION40.00X2661820129697X
DICKSON ERIC M MD
PRESIDENT, UMASS MEMORIAL MEDICAL GROUP, INC.40.00X5221660128423X
FERGUSON R KEVIN MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.40.00X232082036736
FERRUCCI JOSEPH MD
DIRECTOR, CMMIC, INC.32.00X390016038659
FINBERG ROBERT W MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.20.00X2913690148150
GOTTLIEB PHILIP D MD
DIRECTOR, CLINTON HOSPITAL ASSOCIATION40.00X369567035822
KEATING TODD A
TREASURER & CFO, DIRECTOR, UMASS MEMORIAL HEALTH C40.00X6120270258018X
KENNEDY KATHRYN MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.36.00X284908041086
LAPIDAS GARY N
PRESIDENT, DIRECTOR, UMASS MEMORIAL HEALTH VENTURE40.00X4799400195951X
LASSER DANIEL H MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.20.00X2841200309317
MAGUIRE DAVID L MD
DIRECTOR, WING MEMORIAL HOSPITAL40.00X239681011152
MATTA LALITA MD
DIRECTOR, MARLBOROUGH HOSPITAL40.00X126369024860
MESSINA LOUIS MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.36.00X625794039575
MOORE KAREN
PRESIDENT, MARLBOROUGH HOSPITAL40.00X4679501104X
MULDOON PATRICK L
PRESIDENT, DIRECTOR, CENTRAL NEW ENGLAND HEALTHALL40.00X5048600207722X
O'BRIEN JOHN G
PRESIDENT & CEO, DIRECTOR, UMASS MEMORIAL HEALTH C40.00X134498201013473X
OKIKE O NSIDINANYA MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.40.00X386025054809
O'LEARY DANIEL J MD
DIRECTOR, COORDINATED PRIMARY CARE, INC.40.00X1605820974
PAPPAS ARTHUR MD
DIRECTOR, UMASS MEMORIAL HOSPITALS, INC.16.00X14186010498
POLANOWICZ JOHN
PRESIDENT, UNTIL 5/6/11, MARLBOROUGH HOSPITAL40.00X99558073553X
SOAR BART MD
DIRECTOR, WING MEMORIAL HOSPITAL40.00X155016016793
SWENSON DANA
DIRECTOR, UMASS MEMORIAL REALTY, INC.40.00X2904810124511
TOSI STEPHEN E MD
DIRECTOR, CLINTON HOSPITAL ASSOCIATION40.00X6524850266784
WESOLOWSKI PAUL
DIRECTOR, COORDINATED PRIMARY CARE, INC.40.00X20966106536
ZIEDONIS DOUGLAS MD
PRESIDENT, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM20.00X220807038641X
ALLEN GAIL
DIRECTOR, HEALTH ALLIANCE HOSPITALS, INC.1.00X000
ANDERSON ELAINE
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
ANTONIONI ROBERT
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
BABINEAU ROBERT JR MD
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
BENNETT DAVID L
CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BENNETT RICHARD K
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BERGERON ARTHUR
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
BERKEY DENNIS D
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BERRY SARAH G
EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BOUDREAU NORMAN
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
BOVENZI LESLIE
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
BUDD JOHN H
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
CARLSON MARY
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
CATALINA FERNANDO MD
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
CHERUBINI J PAUL
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00X000
CHRISTENSEN RONALD
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
CLEMENTI JOHN
VICE CHAIRPERSON, CENTRAL NEW ENGLAND HEALTHALLIAN1.00X000
COLLINS MICHAEL MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
CONNORS MARTIN JR
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
COOLIDGE KATHERINE
VICE CHAIRPERSON, WING MEMORIAL HOSPITAL1.00X000
CORNELL LOIS D
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
CROCKER FREDERICK G
DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC.1.00X000
D'ALELIO EDWARD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
DAVIS DIX F
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
DELROSARIO GENE MD
DIRECTOR, CLINTON HOSPITAL ASSOCIATION, UNTIL 2/241.00X000
DENNEHY RAYMOND III
DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE,1.00X000
DIGERONIMO ARTHUR P JR
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
DITULLIO DANIEL
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
DOBECK PAM
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
D'ONFRO PAUL
CHAIRPERSON, CENTRAL NEW ENGLAND HEALTHALLIANCE, I1.00X000
FITCH ROGER
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
FLOTTE TERENCE MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
GIBLIN DAVID R
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
GRAY JENNIFER
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00X000
HAVELES ROBERT
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
HENEBRY CLARK
TREASURER & CLERK, CLINTON FDN; DIRECTOR, CLINTON1.00X000X
HEWITT FRANK
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
HOLLISTER MATT
FIRST VICE PRESIDENT, CLINTON HOSPITAL FOUNDATION,1.00X000
JACOBSON M HOWARD
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
JOHNSON JOANNE
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
KANGAS PAUL
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
KAPLAN DANIEL
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.1.00X000
KATSOUNAKIS THEA
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
KELLEHER WILLIAM D JR
DIRECTOR, UNTIL 4/30/12, UMASS MEMORIAL HEALTH VEN1.00X000
LENHARDT STEPHEN W SR
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
LOWELL STEVEN
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
LYONS CYNTHIA
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
LYONS MICHAEL MD
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
MACNEILL HARRIS L
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MANZI EDWARD
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
MCGRAIL WILLIAM ESQUIRE
CHAIRPERSON, CLINTON HOSPITAL ASSOCIATION1.00X000
MCMAHON RICHARD MD
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
MCMULLEN CYNTHIA M EDD
EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MCNAMARA MARY ELLEN
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MENDOZA STEVEN
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00X000
MERCADANTE ANTHONY J
DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE,1.00X000
MITCHELL LINDA
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
MOLLOY ANN K
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
MORRILLY DARLENE
DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE,1.00X000
MURPHY MICHAEL D
VICE CHAIRPERSON, MARLBOROUGH HOSPITAL1.00X000
NOONAN EDWARD J
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
PAEN GENARO
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
PARRY EDWARD J III
VICE CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
PAULINO JEANNE
PRESIDENT, CLINTON HOSPITAL FOUNDATION, INC.1.00X000X
PEDERSON THORU
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
PEREZ JUDGE LUIS
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
PHANEUF JAMES
CHAIRPERSON, WING MEMORIAL HOSPITAL1.00X000
PURCELL PHILIP E
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
RICHER GERALD P
DIRECTOR, MARLBOROUGH HOSPITAL & UMM HEALTH VENTUR1.00X000
RIVARD MICHAEL
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
SANCHEZ CAROL
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
SCULLY PAUL
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
SEYMOUR-ROUTE PAULETTE PHD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
SHEA JOHN ESQUIRE
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
SHELTON ROBERT LESLIE MD
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
SIMMONS IRINA
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
ST AMAND JAMES
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
STARR STANLEY B JR
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
STECYK MARKIAN MD
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
SULLIVAN WILLIAM F SR
DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC.1.00X000
TAYLOR HARVEY MD
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
TURLEY PATRICK
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
WHITNEY MARY
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
WILSON JACK
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
YOUNG LYNDA M
EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
ALLICON KEARY T
TREASURER, WING MEMORIAL HOSPITAL40.00156207054472X
BERGAN THOMAS
PRESIDENT, UNTIL 10/31/11, CMMIC, INC.40.002850840151568X
D'AMBRA ANN-MARIA
SECRETARY, MARLBOROUGH HOSPITAL40.0047722024340X
DION JEFFREY
TREASURER, UNTIL 9/9/11, MARLBOROUGH HOSPITAL40.00154713050469X
EKSTROM DEBORAH
PRESIDENT, COMMUNITY HEALTHLINK, INC.40.002383810142730X
FELDMANN ROBERT
TREASURER, UMASS MEMORIAL LABORATORIES, INC.40.003024370181706X
FRAKER MURIEL E ESQUIRE
SECRETARY, UNTIL 3/27/12, UMASS MEMORIAL MEDICAL G40.00173656095984X
MCCUE STEVEN
TREASURER, CLINTON HOSPITAL & MARLBOROUGH HOSPITAL40.00187267034059X
MILLER LAUREN B
SECRETARY, WING MEMORIAL HOSPITAL40.0077261011444X
MORABITO NANCY E
SECRETARY, CLINTON HOSPITAL ASSOCIATION40.005253803880X
MORIN LYNN A
SECRETARY, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC40.007386505445X
O'BRIEN WILLIAM H
SECRETARY, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM40.00120516064799X
SMITH FRANCIS W
CLERK, UMM HEALTH VENTURES & UMM MED GROUP, INC.40.00179186065701X
STREETER MICHELE M
TREASURER, UMASS MEMORIAL MEDICAL GROUP, INC.40.003694220163514X
ANDERSON MILTON C
SR. VP, CHIEF OF HR40.00145076022463X
BLUTE MICHAEL MD
DIRECTOR, UNTIL 3/31/12, CANCER CENTER OF EXCELLEN40.006415820142028X
BOLLAND KATHARINE
VP, DEPUTY GENERAL COUNSEL40.00271645043809X
BRENCKLE GEORGE PHD
SR. VP, CHIEF INFORMATION OFFICER40.003948270138531X
DALEY JENNIFER MD
EXECUTIVE VP, CHIEF OPERATING OFFICER40.005586720137787X
DIAMOND VICTORIA
SR. VP, OPERATIONS40.003454020152517X
ETTINGER WALTER H MD
PRESIDENT - MEDICAL CENTER, UNTIL 1/20/1240.009767520334830X
FAIRCHILD DAVID MD
SR. VP, CLINICAL INTEGRATION40.00218746032765X
FISHER BARBARA
SR. VP, OPERATIONS40.003068220124633X
HYLKA SHARON
SR. VP, HOSPITAL ADMIN.40.004153740275668X
KLUGMAN ROBERT MD
CHIEF QUALITY OFFICER40.005096400278030X
KRUGER NANCY
SR. VP, CHIEF NURSING OFFICER40.00406118058375X
LAPRIORE CHERYL M
CHIEF OF STAFF40.00255625057142X
PHILLIPS ROBERT A MD
MED DIR, HEART & VASCULAR COE40.008124710265640X
RANDOLPH JOHN T
VP, CHIEF COMPLIANCE OFFICER40.002365830163339X
WEBB PATRICIA
SR. VP, CHIEF HR OFFICER, UNTIL 1/2/1140.0031301052162X
AROUS ELIAS J MD
PHYSICIAN, ASSOC. CHIEF MEDICAL OFFICER, CHIEF OF32.00587211036575X
DUNN RAYMOND M MD
PHYSICIAN, CHIEF OF PLASTIC & RECONSTRUCTIVE SURGE31.00578623035804X
TAM STANLEY MD
PHYSICIAN, CHIEF OF CARDIOTHORACIC SURGERY - MED G30.00562945038659X
AYERS DAVID C MD
PHYSICIAN, CHAIR OF ORTHOPEDICS AND PHYSICAL REHAB33.00562133038674X
WHOLEY RICHARD M MD
PHYSICIAN, CARDIOVASULAR MEDICINE - MED GROUP36.00554285048609X
SUSSMAN ANDREW J
FORMER SR. VP, CHIEF OPS OFFICER, MED CTR, UNTIL 80.001882460591X
FieldValueIRS element (for citing)
Total Reportable Comp From Org23558886TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation7414201TotalOtherCompensation
Number Individuals GT100 K2485NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
XEROX BUSINESS SVCS LLC
PO BOX 201322DALLASTX75320I/S MANAGEMENT SERVICES27395810
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102299ATLANTAGA303682289DIETARY MANAGEMENT SERVICES5376569
ARUP LABORATORIES INC
50 CHIPETA WAYSALT LAKE CITYUT84108LAB PROCESSING SERVICES5114607
ARE
ONE INNOVATION DRIVEWORCESTERMA01605RENT4882905
STANDARD BUILDERS INC
52 HOLMES ROADNEWINGTONCT06111SEE SCHEDULE O - FOOTNOTE A4177777
FieldValueIRS element (for citing)
Number Of Contractors GT100 K191NumberOfContractorsGT100K
Fundraising Events884128FundraisingEvents
Related Organizations645710RelatedOrganizations
Government Grants5961985GovernmentGrants
All Other Contributions10995097AllOtherContributions
Noncash Contributions104682NoncashContributions
Total Contributions18486920TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
NET PATIENT SERVICE RE90009918541716721854171672
SPECIAL MEDICAID PAYME900099187999999187999999
AFFILIATE RELATED PROG900099177371701177371701
SYSTEM ALLOCATION REVE900099151817302151817302
OTHER PSR & JV900099147668738146314351$1,354,387

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column32845220TotalRevenueColumn
Related Or Exempt Function Income32845220RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2551874632TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10408890TotalRevenueColumn
Unrelated Business Revenue-11240UnrelatedBusinessRevenue
Exclusion$10,420,130ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column68376TotalRevenueColumn
Exclusion$68,376ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2118666Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1238757Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real879909Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column879909TotalRevenueColumn
Exclusion$879,909ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities247236504Securities
Other76383Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities258996181Securities
Other328338Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-11759677Securities
Other-251955Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-12011632TotalRevenueColumn
Exclusion-$12,011,632ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events627034GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events884128CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses665944FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-38910TotalRevenueColumn
Exclusion-$38,910ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
LAB OUTREACH PROGRAM &6215003731856937318569
OTHER REVENUE90009943992522866385$1,532,867
SUBLEASE INCOME9000992002528$2,002,528

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column8718TotalRevenueColumn
Exclusion$8,718ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue43729067TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2613397252TotalRevenueColumn
Related Or Exempt Function Income2553386630RelatedOrExemptFunctionIncome
Unrelated Business Revenue37307329UnrelatedBusinessRevenue
Exclusion$4,216,373ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2000000Total
Program Services2000000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total56000Total
Program Services56000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total29100492Total
Program Services10992728ProgramServices
Management And General18107764ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total926914600Total
Program Services805232972ProgramServices
Management And General121218399ManagementAndGeneral
Fundraising463229Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total70876497Total
Program Services59201909ProgramServices
Management And General11666119ManagementAndGeneral
Fundraising8469Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total132486534Total
Program Services111948840ProgramServices
Management And General20497229ManagementAndGeneral
Fundraising40465Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total66088185Total
Program Services56583994ProgramServices
Management And General9480195ManagementAndGeneral
Fundraising23996Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1139157Total
Program Services717923ProgramServices
Management And General421234ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1999989Total
Program Services393567ProgramServices
Management And General1606422ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1026520Total
Management And General1026520ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total925238Total
Program Services925238ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total1213795Total
Fundraising1213795Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total925844Total
Management And General925844ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total131052027Total
Program Services116841124ProgramServices
Management And General13879768ManagementAndGeneral
Fundraising331135Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2392451Total
Program Services1887689ProgramServices
Management And General371363ManagementAndGeneral
Fundraising133399Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total42129888Total
Program Services29181199ProgramServices
Management And General12910989ManagementAndGeneral
Fundraising37700Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total48147302Total
Program Services47396541ProgramServices
Management And General749975ManagementAndGeneral
Fundraising786Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total81243590Total
Program Services68211598ProgramServices
Management And General13018578ManagementAndGeneral
Fundraising13414Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total3102102Total
Program Services2923570ProgramServices
Management And General174948ManagementAndGeneral
Fundraising3584Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1276050Total
Program Services1057857ProgramServices
Management And General211871ManagementAndGeneral
Fundraising6322Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total16275757Total
Program Services15574028ProgramServices
Management And General701729ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total90394197Total
Program Services71319425ProgramServices
Management And General19067886ManagementAndGeneral
Fundraising6886Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total55833705Total
Program Services53516179ProgramServices
Management And General2316157ManagementAndGeneral
Fundraising1369Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES285537177221957600635754224155
MEDICAL SUPPLIES21363760517888340134754204
SYSTEM OVERHEAD ACTIVIT16831776993535614747800992056
MEDICAL EDUCATION SERVI135750000135750000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total101110133Total
Program Services88122533ProgramServices
Management And General12889077ManagementAndGeneral
Fundraising98523Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2610952604Total
Program Services2174211529ProgramServices
Management And General434351792ManagementAndGeneral
Fundraising2389283Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY121731059BOY
EOY175920045EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY176798916BOY
EOY95309671EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2155912BOY
EOY2365049EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY233992397BOY
EOY344055341EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY4471041BOY
EOY4239536EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY31891970BOY
EOY30033937EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY22550727BOY
EOY25047714EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY22763905BOY
EOY25116769EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1624159779LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec927636750LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY678871268BOY
EOY696523029EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY377356855BOY
EOY383112009EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY127541059BOY
EOY143268414EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY12255179BOY
EOY13175619EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY631776BOY
EOY608060EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY59267708BOY
EOY61430961EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1872279772BOY
EOY2000206154EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY274942645BOY
EOY314454122EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5054227BOY
EOY5206847EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY379318376BOY
EOY367082810EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY50994524BOY
EOY55106326EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY32121991BOY
EOY29416760EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY532875010BOY
EOY592782326EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1275306773BOY
EOY1364049191EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY461765636BOY
EOY482080876EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY58913271BOY
EOY74240870EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY76294092BOY
EOY79835217EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY596972999BOY
EOY636156963EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1872279772BOY
EOY2000206154EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2444648ReconcilationRevenueExpenses
Reconcilation Other Changes36739316ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$179,084GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$746,154RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB925238TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance97341571BeginningOfYearBalance
Contributions172660Contributions
Investment Earnings Or Losses510787InvestmentEarningsOrLosses
Other Expenditures-536334OtherExpenditures
End Of Year Balance98561352EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.73000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.27000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7753232OtherCostOrOtherBasis
Book Value7753232BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis846551004OtherCostOrOtherBasis
Depreciation452851877Depreciation
Book Value393699127BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis34301579OtherCostOrOtherBasis
Depreciation20943962Depreciation
Book Value13357617BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis694057672OtherCostOrOtherBasis
Depreciation447419873Depreciation
Book Value246637799BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis41496292OtherCostOrOtherBasis
Depreciation6421038Depreciation
Book Value35075254BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings696523029TotalOfBookValueLandBuildings

Other Securities OtherSecurities (12 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TIFF ABSOLUTE RETURN POOL (6,291 SHARES)23811390F
TIFF PRIVATE EQUITY PARTNERS 2006 (2,812,830 SHARES)2812830F
FRANK RUSSELL GLOBAL PRIVATE EQUITY FUND (497,714 SHARES)497714F
GMO MULTI-STRATEGY FUND (OFFSHORE) LP (14,366,780 SHARES)14366780F
BENEFICIAL INTEREST IN TRUSTS75358955F
AETOS CAPITAL LONG/SHORT STRATEGIES (70,908 SHARES)7087113F
AETOS CAPITAL DISTRESSED INV STRATEGIES (23,360 SHARES)2948074F
AETOS CAPITAL MULTI-STRATEGY ARBITRAGE (39,011 SHARES)4264513F
MPPLTD/PORTFOLIO CLASS A (4,325 SHARES)396213F
TIFF ABSOLUTE RETURN POOL CLASS C (3,876 SHARES)6778150F
MET WEST ENHANCED TALF STRATEGY FUND (2,141,376 SHARES)2141376F
LT CERTIFICATES OF DEPOSIT2805306F
FieldValueIRS element (for citing)
Total Of Book Value Securities143268414TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (12 entries)

DescriptionDescriptionAmountAmount
DUE TO UMASS MEDICAL SCHOOL$52,657,012
THIRD PARTY LIABILITIES$52,669,710
DUE TO RELATED PARTIES$32,485,565
ACCRUED PENSION POST RETIREMENT BENEFITS$373,471,828
O/S LOSS RESERVES$32,774,252
ESTIMATED MALPRACTICE COSTS$30,328,905
OTHER$1,158,124
ANNUITY PAYABLE$3,358,800
LT LIABILITY ARO$10,255,492
ACCRUED LT LIABILITIES$3,503,512
CLAIMS RESERVES$89,126
MEDICARE RESERVES$30,000
FieldValueIRS element (for citing)
Total Of Amounts592782326TotalOfAmounts
Total Revenue2613397252TotalRevenue
Total Expenses2610952604TotalExpenses
Excess Or Deficit For Year2444648ExcessOrDeficitForYear
Net Unrealized GL On Investments54604323NetUnrealizedGLOnInvestments
Other-$17,865,007OtherAmount
Total Adjustments36739316TotalAdjustments
Excess Or Deficit Per FS39183964ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:FIN 48 FOOTNOTE: INCOME TAXES: THE SYSTEM FOLLOWS A TWO-STEP APPROACH FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. THE SUBSTANTIAL MAJORITY OF UMASS MEMORIAL AND ITS AFFILIATE ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THESE ENTITIES WILL NOT INCUR ANY LIABILITY FOR FEDERAL INCOME TAXES EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME. CERTAIN AFFILIATES ARE TAXABLE ENTITIES. THE MEASUREMENT OF THE AMOUNTS RECORDED AS A PROVISION FOR INCOME TAXES BASED UPON THE AFOREMENTIONED APPROACH IS NOT MATERIAL AND IS RECORDED AS PART OF SUPPLIES AND OTHER EXPENSE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. THE SYSTEM DOES NOT BELIEVE IT HAS ANY SIGNIFICANT UNCERTAIN TAX POSITIONS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTIONS 3,517,603. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -21,041,562. BOOK/TAX DIFFERENCES FROM S CORP K-1 264,483. CHANGE IN BENEFICIAL INTERESTS IN PERPETUAL TRUSTS 8,453,509. MISCELLANEOUS -491. NET ASSETS RELEASED FROM RESTRICTION FOR PPE 1,459,814. TEMPORARY RESTRICTED FUND EXPENDITURES -5,851,897. GAIN/(LOSS) ON DISCONTINUED OPERATIONS -4,612,889. ALLOWANCE FOR UNCOLLECTIBLE PLEDGES -53,577. TOTAL TO SCHEDULE D, PART XI, LINE 8: -17,865,007.
PART V ENDOWMENT FUNDS QUESTION 3 A (I): ARE THERE ENDOWMENT FUNDS NOT IN THE POSSESSION OF THE ORGANIZATION THAT ARE HELD AND ADMINISTERED FOR THE ORGANIZATION BY: (I) UNRELATED ORGANIZATIONS: YES OR NO WING - YES BANK OF AMERICA HOLDS 3 TRUST FUNDS FOR WING MEMORIAL HOSPITAL: DORNOE PARKER TRUST, RATHBONE 1950 TRUST, RATHBONE 1951 TRUST INTEREST IS PAID TO WING. BANK OF AMERICA IS AN UNRELATED ORGANIZATION. HEALTHALLIANCE HOSPITAL - YES BANK OF AMERICA MERRILL LYNCH HOLDS THE BERNARD W DOYLE TRUST FOR HEALTHALLIANCE HOSPITAL. DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE HOSPITAL. BANK OF AMERICA MERRILL LYNCH IS AN UNRELATED ORGANIZATION. BYN MELLON WEALTH MANAGEMENT HOLDS THE FOLLOWING TRUSTS FOR HEALTHALLIANCE HOSPITAL: TRUST U/WILL ART 11 WILLIAM H CROPPER TRUST U/WILL PAR 15 WILLIAM H CROPPER TRUST U/WILL ART 18 WILLIAM H CROPPER TRUST UNDER 2ND CODICIL OF WILL OF WILLIAM H CROPPER TRUST U/WILL 4TH COD WILLIAM H CROPPER DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE HOSPITAL. BYN MELLON WEALTH MANAGEMENT IS AN UNRELATED ORGANIZATION. PART V ENDOWMENT FUNDS QUESTION 4: PARENT - THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE DIRECTED IN ACCORDANCE WITH THE DONOR'S INTENT INCLUDING THE PERSERVATION OF THE ORIGINAL GIFT AND VARIOUS PURPOSES INCLUDING CHARITY CARE, MEDICAL EDUCATION, RESEARCH, HEALTH CARE SERVICES, BUILDINGS AND EQUIPMENT. HEALTHALLIANCE HOSPITAL - THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE DIRECTED IN ACCORDANCE WITH THE DONOR'S INTENT INCLUDING THE PRESERVATION OF THE ORIGINAL GIFT AND VARIOUS PURPOSES INCLUDING CHARITY CARE, MEDICAL EDUCATION, RESEARCH, HEALTH CARE SERVICES, BUILDINGS AND EQUIPMENT.

Schedule G IRS990ScheduleG

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

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1333 SOUTH STREETAddressLine1
CitySHREWSBURYCity
StateMAState
ZIP Code01545ZIPCode
FieldValueIRS element (for citing)
ActivityFUNDRAISINGActivity
Fundraiser Control Of Funds1FundraiserControlOfFunds
Gross Receipts2895622GrossReceipts
Amount Retained By Contractor1127995AmountRetainedByContractor
Net To Organization1767627NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts2895622TotalGrossReceipts
Total Retained By Contractors1127995TotalRetainedByContractors
Total Net To Organization1767627TotalNetToOrganization
Licensed StatesMALicensedStates
Licensed StatesNHLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1PARENT-WINTER BALLNameOfEvent1
Gross Receipts Event1703770GrossReceiptsEvent1
Charitable Contributions Event1411704CharitableContributionsEvent1
Gross Revenue Event1292066GrossRevenueEvent1
Other Direct Expenses Event1292066OtherDirectExpensesEvent1
Name Of Event2CNHEA GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event2277318GrossReceiptsEvent2
Charitable Contributions Event2130937CharitableContributionsEvent2
Gross Revenue Event2146381GrossRevenueEvent2
Non Cash Prizes Event241412NonCashPrizesEvent2
Rent Facility Costs Event2109392RentFacilityCostsEvent2
Other Direct Expenses Event216817OtherDirectExpensesEvent2
Total Number Of Other Events9TotalNumberOfOtherEvents
Gross Receipts Other Events530074GrossReceiptsOtherEvents
Charitable Contrib Other Events341487CharitableContribOtherEvents
Gross Revenue Other Events188587GrossRevenueOtherEvents
Non Cash Prizes Other Events22188NonCashPrizesOtherEvents
Rent Facility Costs Other Events61696RentFacilityCostsOtherEvents
Food And Beverage Other Events1205FoodAndBeverageOtherEvents
Entertainment Other Events2200EntertainmentOtherEvents
Other Direct Expenses Other Events118968OtherDirectExpensesOtherEvents
Gross Receipts Total1511162GrossReceiptsTotal
Charitable Contributions Total884128CharitableContributionsTotal
Gross Revenue Total Events627034GrossRevenueTotalEvents
Non Cash Prizes Total Events63600NonCashPrizesTotalEvents
Rent Facility Costs Total Events171088RentFacilityCostsTotalEvents
Food And Beverage Total Events1205FoodAndBeverageTotalEvents
Entertainment Total Events2200EntertainmentTotalEvents
Other Direct Expenses Total Events427851OtherDirectExpensesTotalEvents
Direct Expense Summary Events665944DirectExpenseSummaryEvents
Net Income Summary-38910NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I, LINE 2B; COLUMN (III)PART I, LINE 2B - FUNDRAISER ADDITIONAL INFORMATIONUMASS MEMORIAL FOUNDATION, INC. IS IDENTIFIED AS THE ADMINISTRATOR OF THE PHILANTHROPIC ACTIVITIES OF THE REPORTING ENTITIES OF UMASS MEMORIAL HEALTH CARE, INC. THIS INCLUDES THE COORDINATION OF ALL CHARITABLE WORK AND THE MANAGEMENT OF OFFICE OPERATIONS TO SUPPORT FUNDRAISING INCLUDING THE FOLLOWING PROCEDURES: 1) ACTIVE DEVELOPMENT WORK 2) DONOR RELATIONS AND COMMUNICATIONS 3) SERVICES TO UMASS MEMORIAL STAFF 4) CONTRIBUTION REPORTS, DONOR RECORD FILES 5) TRANSFER OF CONTRIBUTIONS RECEIVED (CONTRIBUTIONS RECEIVED BY THE FOUNDATION THAT ARE DESIGNATED TO A UMASS MEMORIAL REPORTING ENTITY ARE DEPOSITED INTO A DESIGNATED ACCOUNT OF THE RESPECTIVE REPORTING ENTITY UPON RECEIPT.) 6) EXPENDITURES OF CONTRIBUTIONS
PART I, LINE 2B; COLUMN (V)PART I, LINE 2B - FUNDRAISER ADDITIONAL INFORMATION (CONTINUED)UMASS MEMORIAL HEALTH CARE, INC. PAYS UMASS MEMORIAL FOUNDATION, INC. ITS PRORATA SHARE OF OPERATING EXPENSES BASED ON THE SPLIT OF UMASS MEMORIAL CONTRIBUTION RECEIPTS VERSUS THE OVERALL TOTAL CONTRIBUTION RECEIPTS AS COLLECTED BY THE FOUNDATION.
PART IISCHEDULE G - ADDITIONAL INFORMATIONPART II, COLUMN (A) EVENT #1 THE WINTER BALL WAS HELD BY THE PARENT PART II, COLUMN (B) EVENT #2 THE HOSPITAL GOLF TOURNEY WAS HELD BY CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. PART II, COLUMN (C) OTHER EVENTS (9 EVENTS REPORTED) ARE: GOLF TOURNAMENT HELD BY WING MEMORIAL HOSPITAL CORPORATION SPEAKEASY HELD BY HEALTHALLIANCE HOSPITALS DENNEHY GOLF TOURNAMENT HELD BY HEALTH ALLIANCE HOME HEALTH AND HOSPICE, INC. LOVELIGHT HELD BY HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. GOLF TOURNAMENT HELD BY THE PARENT OTHER EVENTS WERE HELD BY THE PARENT, GOLF TOURNAMENT WAS HELD BY MARLBOROUGH HOSPITAL, INC. 50'S SOCK HOP DANCE HELD BY CLINTON HOSPITAL, AND SPANISH FOR KIDS HELD BY COMMUNITY HEALTHLINK.

Schedule H IRS990ScheduleH

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

Discounted Other DiscountedOther

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense56809542TotalCommunityBenefitExpense
Direct Offsetting Revenue18057409DirectOffsettingRevenue
Net Community Benefit Expense38752133NetCommunityBenefitExpense
Percent Of Total Expense0.02320PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense277037741TotalCommunityBenefitExpense
Direct Offsetting Revenue245169480DirectOffsettingRevenue
Net Community Benefit Expense31868261NetCommunityBenefitExpense
Percent Of Total Expense0.01910PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense40604623TotalCommunityBenefitExpense
Direct Offsetting Revenue36178232DirectOffsettingRevenue
Net Community Benefit Expense4426391NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense374451906TotalCommunityBenefitExpense
Direct Offsetting Revenue299405121DirectOffsettingRevenue
Net Community Benefit Expense75046785NetCommunityBenefitExpense
Percent Of Total Expense0.04500PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4277489TotalCommunityBenefitExpense
Direct Offsetting Revenue2492731DirectOffsettingRevenue
Net Community Benefit Expense1784758NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense196754572TotalCommunityBenefitExpense
Direct Offsetting Revenue120417804DirectOffsettingRevenue
Net Community Benefit Expense76336768NetCommunityBenefitExpense
Percent Of Total Expense0.04580PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense94492754TotalCommunityBenefitExpense
Direct Offsetting Revenue83152350DirectOffsettingRevenue
Net Community Benefit Expense11340404NetCommunityBenefitExpense
Percent Of Total Expense0.00680PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense4474942TotalCommunityBenefitExpense
Direct Offsetting Revenue2056000DirectOffsettingRevenue
Net Community Benefit Expense2418942NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense299999757TotalCommunityBenefitExpense
Direct Offsetting Revenue208118885DirectOffsettingRevenue
Net Community Benefit Expense91880872NetCommunityBenefitExpense
Percent Of Total Expense0.05520PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense674451663TotalCommunityBenefitExpense
Direct Offsetting Revenue507524006DirectOffsettingRevenue
Net Community Benefit Expense166927657NetCommunityBenefitExpense
Percent Of Total Expense0.10020PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served435PersonsServed
Total Community Building Expense9326TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense9326NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Persons Served15PersonsServed
Total Community Building Expense24000TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense24000NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Persons Served25PersonsServed
Total Community Building Expense3736TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense3736NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense29372TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense29372NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense5229TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense5229NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Persons Served1649PersonsServed
Total Community Building Expense834480TotalCommunityBuildingExpense
Direct Offsetting Revenue70012DirectOffsettingRevenue
Net Community Building Expense764468NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served2124PersonsServed
Total Community Building Expense906143TotalCommunityBuildingExpense
Direct Offsetting Revenue70012DirectOffsettingRevenue
Net Community Building Expense836131NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$8,731,362BadDebtExpenseAmount
Amount Attributable To1877640AmountAttributableTo
Amount Reimbursed By Medicare376854867AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare378576904CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1722037MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (12 entries)

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

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

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24Hours
UMASS MEMORIAL MEDICAL CENTER INC
155 LAKE AVE 119 BELMONT STREETWORCESTERMA01605XXXXXX
HEALTHALLIANCE HOSPITAL INC
260 HOSPITAL ROADLEOMINSTERMA01453XXXX
MARLBOROUGH HOSPITAL
3157 UNION STREETMARLBOROUGHMA01752XXX
WING MEMORIAL HOSPITAL CORPORATION
440 WRIGHT STREETPALMERMA01069XXX
CLINTON HOSPITAL ASSOCIATION
5201 HIGHLAND STREETCLINTONMA01510XXX

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

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentPermit Other ActionsPermitOtherActionsCollection ActivitiesCollectionActivitiesOther ActionsOtherActionsNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesOther PublicityOtherPublicityOther Actions TakenOtherActionsTaken
UMASS MEMORIAL MEDICAL CENTER INC
111200.0000000000001600.0000000000001XXXX11XXXXXX1X1XXXXX1X01
HEALTHALLIANCE HOSPITAL INC
211200.0000000000001600.0000000000001XX11XXXX1X1XXXXX1X01XX
MARLBOROUGH HOSPITAL
311200.0000000000001600.0000000000001XXXX11XXXXXX1X1XXXXX1X01
WING MEMORIAL HOSPITAL CORPORATION
411200.0000000000001600.0000000000001XXXX11XXXXXX1X1XXXXX1X01
CLINTON HOSPITAL ASSOCIATION
511200.0000000000001600.0000000000001XXXX11XXXXXX1X1XXXXX1X01

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (36 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7: THE ECLIPSYS COST ACCOUNTING DATA WAS APPLIED FOR THE PATIENT CARE THAT SUSTAINED A LOSS. CARE IS BILLED AT A PROCEDURE (CHARGE CODE) LEVEL AND THIS IS APPLIED TO THE PATIENT UTILIZATION. THIS DATA INCLUDES ALL PATIENT SEGMENTS OF CARE. EXCLUSIONS WERE APPLIED AS DIRECTED IN THE SCHEDULE. THE COST TO CHARGE WAS ACHIEVED BY TAKING THE EXPENSES (EXCLUDING BAD DEBT) AND APPLYING THEM AGAINST THE GROSS CHARGES. A COST CHARGE RATIO WAS APPLIED TO THE PATIENT CARE THAT WAS NOT BILLED TO HEALTH SAFETY NET (HSN), I.E. AMBULANCE SERVICES, MOBILE VAN PATIENT CARE, AND PRIMARY CARE WHERE THE PATIENT DID NOT FULLY COMPLETE THE FREE CARE APPLICATION.THE ORGANIZATION REVIEWED PROGRAMS THAT WERE PROVIDED BUT WHICH INCURRED A FINANCIAL LOSS. THE LOSS IS OBTAINED AFTER REDUCING THE CHARGES TO COST, LESS THE PAYMENTS. THESE LOSSES ARE NOT INCLUDED IN PART I OR AS BAD DEBT IN PART III. MEDICAID, SELF-PAY AND FREE CARE CASES AND VISITS WERE REMOVED FROM THE TOTAL PER THE INSTRUCTIONS. THE SERVICES PROVIDED HAVE BEEN IDENTIFIED AS A COMMUNITY NEED AND IF THE ORGANIZATION NO LONGER OFFERED THE SERVICE, THE SERVICE WOULD BE UNAVAILABLE. THE SERVICES RECOGNIZED ARE: PSYCHIATRY, FAMILY AND COMMUNITY MEDICINE, NEPHROLOGY, BARRE PRIMARY CARE, PEDIATRIC PRIMARY CARE, AND MATERNITY SERVICES PROVIDED FOR DELIVERIES AND NORMAL NEWBORNS, EMERGENCY SERVICES, CARE MOBILE, PLUMLEY VILLAGE PRIMARY CARE, OPTHALMOLOGY, AND TB CLINIC. THE DATA REPRESENTS THE UMASS MEMORIAL MEDICAL CENTER AND THE MEMBER HOSPITALS, CLINTON, MARLBOROUGH, HEALTHALLIANCE AND WING MEMORIAL.PART I, LINE 7B: UNDER THE MEDICAID STATE PLAN, UMMHC IS ONE OF TWO HOSPITAL SYSTEMS IN THE STATE THAT QUALIFY AS ESSENTIAL MASSHEALTH HOSPITALS, WHICH PERMITS THE STATE TO PAY IT SUPPLEMENTAL PAYMENTS IN ADDITION TO UMMHC'S STANDARD MEDICAID PAYMENT. THE STANDARD MEDICAID PAYMENT REIMBURSES UMMHC APPROXIMATELY 61% OF THE COST OF PROVIDING SERVICES TO MASSHEALTH PATIENTS. MEDICAID SUPPLEMENTAL FUNDS PROVIDE ADDITIONAL REVENUE TO THE UMMHC HEALTH CARE SYSTEM IN RECOGNITION AND SUPPORT OF UMMHC'S SPECIAL RELATIONSHIP AND OBLIGATIONS TO THE STATE'S ONLY PUBLIC MEDICAL SCHOOL TO FURTHER ITS PUBLIC MISSION AS WELL AS ITS COMMITMENT TO ITS COMMUNITY AS THE REGIONS ONLY SAFETY NET HOSPITAL. THESE SUPPLEMENTAL PAYMENTS ARE MADE PURSUANT TO A SPECIFIC PROVISION ON THE MEDICAID STATE PLAN.
PART I, LINE 7G: NO COST ATTRIBUTABLE TO A PHYSICIAN CLINIC IS INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, L7 COL(F): BAD DEBT EXPENSE OF $41,255,895 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) WAS SUBTRACTED FROM TOTAL EXPENSES FOR PURPOSES OF CALCULATING THE PERCENTAGE OF COMMUNITY BENEFITS OF TOTAL COSTS AMOUNTS.
PART II: UMASS MEMORIAL HEALTH CARE RECOGNIZES COMMUNITY BUILDING ACTIVITIES AS BEING A PART OF THOSE 'SOCIAL DETERMINANTS OF HEALTH' THAT IMPACT THE HEALTH OF THE COMMUNITY. WE INVEST IN EDUCATIONAL COLLABORATIVES, COALITION BUILDING, ADVOCACY EFFORTS, COMMUNITY GARDENS, WORKFORCE DEVELOPMENT AND LEADERSHIP TRAINING PROGRAMS THAT SUPPORT YOUTH WHO ARE AT RISK OF DEVELOPING POOR AND RISKY HEALTH BEHAVIORS AND ARE EXPERIENCING VIOLENCE DUE TO POVERTY. WE ALSO INVEST IN ENVIRONMENTAL AND PHYSICAL IMPROVEMENT PROGRAMS SUCH AS BEAUTIFICATION OF LOW INCOME NEIGHBORHOOD PARKS TO ENABLE ACCESS TO SAFE PLAYGROUNDS THAT PROMOTE PHYSICAL ACTIVITY AS A WAY TO REDUCE OBESITY. THESE PROGRAMS ARE BASED ON OUR COMMUNITY BENEFITS MISSION WHICH WAS RECOMMENDED BY A COMMUNITY BENEFITS ADVISORY COMMITTEE AND DRAWS INSPIRATION FROM THE WORLD HEALTH ORGANIZATION'S BROAD DEFINITION OF HEALTH, AS 'A STATE OF COMPLETE, PHYSICAL, MENTAL, AND SOCIAL WELL BEING AND NOT MERELY THE ABSENCE OF DISEASE.' BY ADOPTING THIS DEFINITION, UMASS MEMORIAL HEALTH CARE HAS EXPANDED ITS STRATEGY TO INCLUDE THE SOCIAL AND ECONOMIC OBSTACLES THAT PREVENT PEOPLE FROM ACHIEVING OPTIMAL HEALTH. ALL OF OUR COMMUNITY BUILDING ACTIVITIES ARE THE RESULT OF AN IDENTIFIED NEED AND ENGAGE THE COMMUNITY. THEY INCLUDE COLLABORATIVE EFFORTS, ADVOCACY ACTIVITIES AND PARTNERSHIPS THAT ENGAGE A BROAD ARRAY OF COMMUNITY STAKEHOLDERS IN ADDRESSING THESE UNMET SOCIAL DETERMINANTS OF HEALTH (COMMUNITY BUILDING ACTIVITIES).EXAMPLES INCLUDE:- INNER-CITY YOUTH FROM PLUMLEY VILLAGE, A LOW INCOME HOUSING PROJECT, WORKED IN COLLABORATION WITH "KABOOM" AND RESIDENTS IN SECURING A LOCATION FOR A PLAYGROUND AND COMPLETING THE PHYSICAL AND BUILT ENVIRONMENT IMPROVEMENTS NEEDED FOR THE INSTALLATION OF A PLAYGROUND. - CONDUCTING WALKING CLUBS WITH RESIDENTS TO PROMOTE PHYSICAL ACTIVITY AND HEALTHY WEIGHT.- YOUTH SECURING AND PREPPING THE LAND FOR RESIDENTS TO PLANT A FOOD-SCAPE (PERENNIAL) FRUIT AND VEGETABLE GARDEN.- FUNDING AND PROMOTING WORKFORCE OPPORTUNITIES FOR INNER-CITY YOUTH.- ADVOCACY FOR PUBLIC HEALTH FUNDING THAT PROMOTES PREVENTION AND THE ACT FRESH CAMPAIGN TO ADDRESS HEALTHY WEIGHT POLICIES.- CONDUCTING THE FACILITATION OF TRAINING PROGRAMS FOR COMMUNITY ORGANIZING RELATED TO FOOD PRODUCTION, HEALTHY WEIGHT AND LEAD SOIL TESTING.- DEVELOPMENT OF A YOUTH-DRIVEN VIDEO PRODUCTION ON HEALTHY WEIGHT THAT WAS USED TO EDUCATE RESIDENTS OF PLUMLEY VILLAGE.- SUPPORTING COALITION EFFORTS THAT PROMOTE LITERACY FOR THIRD GRADERS.PART III, LINE 2 - A COST TO CHARGE RATIO AS DESCRIBED IN PART I LINE 7 WAS APPLIED TO THE ORGANIZATION'S BAD DEBT EXPENSE WHICH WAS THEN FURTHER REDUCED BY PAYMENTS FROM THE HEALTH SAFETY NET RELATED TO FREE CARE.
PART III, LINE 4: COSTING METHODOLOGY - MULTIPLIED THE GROSS PATIENT SERVICE REVENUE BY THE RATIO OF COSTS TO CHARGES CALCULATED AS REPORTED IN HOSPITALS DHCFP 403 HOSPITAL STATEMENT OF COSTS, REVENUES AND STATISTICS. THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE PERTAINING TO BAD DEBT EXPENSE, ACCOUNTS RECEIVABLE, OR THE ALLLOWANCE FOR DOUBTFUL ACCOUNTS. AMOUNTS RECORDED AS BAD DEBT EXPENSE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE PRESENTED DIRECTLY ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CONSOLIDATED BALANCE SHEETS RESPECTIVELY.
PART III, LINE 8: THE MEDICARE SHORTFALL IS THE SUBSIDIZED AMOUNT OF CARE PROVIDED TO PATIENTS AND IS CONSIDERED A COMMUNITY BENEFIT. THIS SHORTFALL INCLUDES LOW REIMBURSEMENT FOR CAPITAL DUE TO TIMING DIFFERENCES AS MAJOR INVESTMENTS ARE MADE, PROGRAMS RELATED TO EMERGENCY AND OTHER AMBULATORY PROGRAMS.
PART III, LINE 9B: EXEMPTION FROM SELF-PAY BILLING AND COLLECTION ACTION - THE ORGANIZATION WILL NOT INITIATE SELF-PAY BILLING AND COLLECTION ACTIVITY:A. UPON SUFFICIENT PROOF THAT A PATIENT IS A RECIPIENT OF EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN (EAEDC), OR ENROLLED IN THE HEALTH SAFETY NET (HSNO) OR MASSHEALTH, HEALTHY START, OR THE CHILDREN'S MEDICAL SECURITY PLAN WHOSE FAMILY INCOME IS EQUAL OR LESS THAN 400% OF THE FPL, WITH THE EXCEPTION OF CO-PAYS AND DEDUCTIBLES REQUIRED UNDER THE PROGRAM OF ASSISTANCE.B. IF THE HOSPITAL HAS PLACED THE ACCOUNT IN LEGAL OR ADMINISTRATIVE HOLD STATUS AND/OR SPECIFIC PAYMENT ARRANGEMENTS HAVE BEEN MADE WITH THE PATIENT OR GUARANTOR.C. FOR MEDICAL HARDSHIP BILLS THAT EXCEED THE MEDICAL HARDSHIP CONTRIBUTION.D. UNLESS UMMMC HAS CHECKED THE EVS SYSTEM TO DETERMINE IF THE PATIENT HAS FILED AN APPLICATION FOR MASSHEALTH.E. FOR PARTIAL HEALTH SAFETY NET ELIGIBLE PATIENTS, WITH THE EXCEPTION OF ANY DEDUCTIBLES REQUIRED.NOTE: THE ORGANIZATION MAY BILL FOR HEALTH SAFETY NET ELIGIBLE AND MEDICAL HARDSHIP PATIENTS FOR NON-MEDICALLY NECESSARY SERVICES PROVIDED AT THE REQUEST OF THE PATIENT AND FOR WHICH THE PATIENT HAS AGREED BY WRITTEN CONSENT.
PART V, SECTION B, LINE 13G: PATIENTS WHO ARE SCHEDULED TO BE ADMITTED AND HAVE BEEN IDENTIFIED AS NON INSURED AND/OR IN NEED OF FINANCIAL ASSISTANCE WILL HAVE AN APPOINTMENT SCHEDULED PRIOR TO ADMISSION TO MEET WITH A FINANCIAL COUNSELOR. PATIENTS, WHO ARE ADMITTED TO THE HOSPITAL THROUGH THE EMERGENCY DEPARTMENT, WILL BE VISITED BY THE FINANCIAL COUNSELOR ONCE THE PATIENT IS ON THE INPATIENT FLOOR. THE MEETING WILL BE HELD WITH THE PATIENT AND/OR FAMILY AS THE PATIENT'S MEDICAL CONDITION PERMITS.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 15E: POLICY ON LIENS-NO LIENS WILL BE INITIATED AGAINST A PATIENT'S PRIMARY RESIDENCE OR MOTOR VEHICLE WITHOUT WRITTEN APPROVAL FROM UMMMC'S BOARD OF TRUSTEES. ALL APPROVALS BY THE BOARD OF TRUSTEES WILL BE MADE ON AN INDIVIDUAL CASE BASES. WE ALSO SEND STATEMENTS AND MAKE PHONE CALLS.UMASS MEMORIAL MEDICAL CENTER, INC.
PART V, SECTION B, LINE 15E: POLICY ON LIENS-NO LIENS WILL BE INITIATED AGAINST A PATIENT'S PRIMARY RESIDENCE OR MOTOR VEHICLE WITHOUT WRITTEN APPROVAL FROM HEALTHALLIANCE'S BOARD OF TRUSTEES. ALL APPROVALS BY THE BOARD OF TRUSTEES WILL BE MADE ON AN INDIVIDUAL CASE BASES. WE ALSO SEND STATEMENTS AND MAKE PHONE CALLS.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 15E: POLICY ON LIENS-NO LIENS WILL BE INITIATED AGAINST A PATIENT'S PRIMARY RESIDENCE OR MOTOR VEHICLE WITHOUT WRITTEN APPROVAL FROM MARLBOROUGH'S BOARD OF TRUSTEES. ALL APPROVALS BY THE BOARD OF TRUSTEES WILL BE MADE ON AN INDIVIDUAL CASE BASES. WE ALSO SEND STATEMENTS AND MAKE PHONE CALLS.MARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 15E: POLICY ON LIENS-NO LIENS WILL BE INITIATED AGAINST A PATIENT'S PRIMARY RESIDENCE OR MOTOR VEHICLE WITHOUT WRITTEN APPROVAL FROM WING'S BOARD OF TRUSTEES. ALL APPROVALS BY THE BOARD OF TRUSTEES WILL BE MADE ON AN INDIVIDUAL CASE BASES. WE ALSO SEND STATEMENTS AND MAKE PHONE CALLS.WING MEMORIAL HOSPITAL CORPORATION
PART V, SECTION B, LINE 15E: POLICY ON LIENS-NO LIENS WILL BE INITIATED AGAINST A PATIENT'S PRIMARY RESIDENCE OR MOTOR VEHICLE WITHOUT WRITTEN APPROVAL FROM CLINTON'S BOARD OF TRUSTEES. ALL APPROVALS BY THE BOARD OF TRUSTEES WILL BE MADE ON AN INDIVIDUAL CASE BASES. WE ALSO SEND STATEMENTS AND MAKE PHONE CALLS.CLINTON HOSPITAL ASSOCIATION
PART V, SECTION B, LINE 16E: UMMMC REFERS ACCOUNTS TO A CREDIT AGENCY WHEN WRITTEN OFF AS BAD DEBT FOR FURTHER COLLECTIONS. THESE AGENCIES CONTINUE COLLECTIONS WITHOUT IMPACT TO THE CREDIT RATING.UMASS MEMORIAL MEDICAL CENTER, INC.
PART V, SECTION B, LINE 16E: HEALTHALLIANCE HOSPITAL REFERS ACCOUNTS TO A CREDIT AGENCY WHEN WRITTEN OFF AS BAD DEBT FOR FURTHER COLLECTIONS. THESE AGENCIES CONTINUE COLLECTIONS WITHOUT IMPACT TO THE CREDIT RATING.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 16E: MARLBOROUGH ENGAGES A THIRD PARTY AGENCY TO ASSIST ON ALL SELF PAY ACCOUNTS AT ORIGINATION. THEY REFER ACCOUNTS TO A CREDIT AGENCY WHEN WRITTEN OFF AS BAD DEBT FOR FURTHER COLLECTIONS. THESE AGENCIES CONTINUE COLLECTIONS WITHOUT IMPACT TO THE CREDIT RATING.MARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 16E: WING REFERS ACCOUNTS TO A CREDIT AGENCY WHEN WRITTEN OFF AS BAD DEBT FOR FURTHER COLLECTIONS. THESE AGENCIES CONTINUE COLLECTIONS WITHOUT IMPACT TO THE CREDIT RATING.WING MEMORIAL HOSPITAL CORPORATION
PART V, SECTION B, LINE 16E: CLINTON REFERS ACCOUNTS TO A CREDIT AGENCY WHEN WRITTEN OFF AS BAD DEBT FOR FURTHER COLLECTIONS. THESE AGENCIES CONTINUE COLLECTIONS WITHOUT IMPACT TO THE CREDIT RATING.CLINTON HOSPITAL ASSOCIATION
PART V, SECTION B, LINE 17E: 1. PATIENTS WITH SELF-PAY RESPONSIBILITIES, INCLUDING EMERGENCY, ELECTIVE, SCHEDULED AND URGENT SERVICES WILL RECEIVE AN INITIAL BILL DELINEATING THE SERVICES AND AMOUNTS DUE FOR WHICH THEY ARE RESPONSIBLE.2. FOR ANY SELF-PAY RESPONSIBILITIES THAT REMAIN UNPAID AFTER THE INITIAL BILL, THE PATIENT WILL RECEIVE A SERIES OF MONTHLY STATEMENTS FOR 4 MONTHS OR UNTIL THE BALANCE IS RESOLVED, THE 4TH STATEMENT INDICATED AS A FINAL NOTICE. 3. PROVIDER ACCOUNTING STAFF WILL MAKE A TELEPHONE CALL TO ANY PATIENT WITH AN OUTSTANDING SELF-PAY BALANCE OF $1,000 OR MORE DURING THE NORMAL SELF-PAY BILLING AND COLLECTION PROCESS. 4. HAH WILL SEND A FINAL NOTICE BY CERTIFIED MAIL FOR BALANCES OVER $1,000 WHERE NOTICES HAVE NOT BEEN RETURNED AS "INCORRECT ADDRESS" OR "UNDELIVERABLE" FOR EMERGENCY CARE PATIENTS.5. ADDITIONAL NOTICES AND/OR LETTERS MAY BE SENT TO DEBTOR PATIENTS DURING THE BILLING AND COLLECTION PROCESS IN AN EFFORT TO RESOLVE OUTSTANDING BALANCES.6. RETURNED MAIL AND/OR UNDELIVERABLE MAIL WILL BE RESEARCHED BY THE PROVIDER ACCOUNTING STAFF TO OBTAINED VALID ADDRESSES. DATABASES AND PRIOR VISIT INFORMATION WILL BE UTILIZED.7. ALL SUCH EFFORTS TO COLLECT BALANCES, AS WELL AS ANY PATIENT INITIATED INQUIRIES, WILL BE DOCUMENTED ON THE GUARANTOR'S ACCOUNT AND AVAILABLE FOR REVIEW.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.UMASS MEMORIAL MEDICAL CENTER, INC.
PART V, SECTION B, LINE 19D: HEALTHALLIANCE CHARGES ALL PATIENTS THE PUBLISHED CHARGE. WHEN THE PATIENT HAS BEEN DETERMINED FOR A DISCOUNT, THE DISCOUNT IS THEN APPLIED TO THE TOTAL CHARGE, AND THE AMOUNT OWED BY THE GUARANTOR IS NOW REDUCED.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.MARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.WING MEMORIAL HOSPITAL CORPORATION
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.CLINTON HOSPITAL ASSOCIATION
PART V, SECTION B, LINE 21: UMMMC CHARGES ALL PATIENTS THE PUBLISHED CHARGE. WHEN THE PATIENT HAS BEEN DETERMINED FOR A DISCOUNT, THE DISCOUNT IS THEN APPLIED TO THE TOTAL CHARGE, AND THE AMOUNT OWED BY THE GUARANTOR IS NOW REDUCED.UMASS MEMORIAL MEDICAL CENTER, INC.
PART V, SECTION B, LINE 21: HEALTHALLIANCE CHARGES ALL PATIENTS THE PUBLISHED CHARGE. WHEN THE PATIENT HAS BEEN DETERMINED FOR A DISCOUNT, THE DISCOUNT IS THEN APPLIED TO THE TOTAL CHARGE, AND THE AMOUNT OWED BY THE GUARANTOR IS NOW REDUCED.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 21: MARLBOROUGH CHARGES ALL PATIENTS THE PUBLISHED CHARGE. WHEN THE PATIENT HAS BEEN DETERMINED FOR A DISCOUNT, THE DISCOUNT IS THEN APPLIED TO THE TOTAL CHARGE, AND THE AMOUNT OWED BY THE GUARANTOR IS NOW REDUCED.MARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 21: WING CHARGES ALL PATIENTS THE PUBLISHED CHARGE. WHEN THE PATIENT HAS BEEN DETERMINED FOR A DISCOUNT, THE DISCOUNT IS THEN APPLIED TO THE TOTAL CHARGE, AND THE AMOUNT OWED BY THE GUARANTOR IS NOW REDUCED.WING MEMORIAL HOSPITAL CORPORATION
PART V, SECTION B, LINE 21: CLINTON CHARGES ALL PATIENTS THE PUBLISHED CHARGE. WHEN THE PATIENT HAS BEEN DETERMINED FOR A DISCOUNT, THE DISCOUNT IS THEN APPLIED TO THE TOTAL CHARGE, AND THE AMOUNT OWED BY THE GUARANTOR IS NOW REDUCED.CLINTON HOSPITAL ASSOCIATION
FINANCIAL ASSISTANCE- HAH EMPLOYS A STAFF OF FINANCIAL 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, CUSTOMER SERVICE REPRESENTATIVES AND GUARANTOR COLLECTORS, PROVIDE POTENTIALLY ELIGIBLE PATIENTS WITH THE APPROPRIATE APPLICATION(S) FOR MASS HEALTH AND/OR HEALTH SAFETY NET, AND ASSIST PATIENTS WITH THE APPLICATION PROCESS.PART V, QUESTION 12HEALTHALLIANCE HOSPITAL, INC.
PART VI, LINE 2: ALL FIVE HOSPITALS ARE JOINING EFFORTS WITH THEIR RESPECTIVE COMMUNITIES TO COMPLETE THEIR COMMUNITY HEALTH NEEDS ASSESSMENT REQUIREMENT BY SEPTEMBER 30, 2013. EACH HAS ASSEMBLED A DIVERSE GROUP OF COMMUNITY STAKEHOLDERS THAT INCLUDE, BUT ARE NOT LIMITED TO, MEMBERS OF HEALTH AND HUMAN SERVICE ORGANIZATIONS, PHILANTHROPY, COMMUNITIES OF COLOR, FAITH-BASED ORGANIZATIONS AND HEALTH DEPARTMENTS AS PART OF THE GROUP THAT IS ASSISTING AND GUIDING THEIR ASSESSMENT. THE FOLLOWING STRATEGIES ARE CONDUCTED BY THE HOSPITALS TO COMPLETE THE ASSESSMENT:- CONDUCT KEY INFORMANT INTERVIEWS AND FOCUS GROUPS WITH COMMUNITY-BASED ORGANIZATIONS AND RESIDENTS- CONDUCT OUTREACH EFFORTS TO MEDICALLY-UNDERSERVED POPULATIONS AND CONVENE MEETINGS WITH NEIGHBORHOOD/COMMUNITY GROUPS- REVIEW PRIMARY AND SECONDARY DATA- CONDUCT ONLINE COMMUNITY SURVEY- ORGANIZE COMMUNITY FORUMS TO SHARE FINDINGS AND RELEASE OF FINAL REPORT - ORGANIZE TASK FORCES FOR FURTHER ACTION TO IDENTIFY PRIORITY AREASTHE FOLLOWING SOURCES INFORM AND ENHANCE OUR EFFORTS TO IDENTIFY PRIORITIES AND UNMET NEEDS:- U.S. CENSUS 2010- HEALTHY PEOPLE 2020- NATIONAL PREVENTION STRATEGY- MASSACHUSETTS DEPARTMENT OF EDUCATION REPORTS INCLUDING LOCAL ENROLLMENT AND LANGUAGE DATA - MASSACHUSETTS DEPARTMENT OF EMPLOYMENT AND TRAINING- HOSPITAL UTILIZATION DATA - MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH/ MASSCHIP- DATA FROM VARIOUS CITY OF WORCESTER DEPARTMENTS INCLUDING, BUT NOT LIMITED TO, THE LOCAL DIVISION OF PUBLIC HEALTH, NEIGHBORHOOD SERVICES AND POLICE.- INFORMATION COLLECTED FROM HEALTH CARE PROVIDERS, COMMUNITY GROUPS/UNDERSERVED POPULATIONS AND INDIVIDUALS WHO HAVE EXPERTISE ON COMMUNITY HEALTH ISSUES.INPUT FROM THE REPRESENTATIVES OF THE COMMUNITY:EACH OF OUR HOSPITALS HAS A DESIGNATED COMMUNITY BENEFITS PROGRAM STAFF THAT HAS JOINED EFFORTS WITH THEIR RESPECTIVE COMMUNITY AND TAKEN INTO ACCOUNT INPUT FROM COMMUNITY STAKEHOLDERS IN DEVELOPMENT OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENT.UMASS MEMORIAL MEDICAL CENTER:UMASS MEMORIAL MEDICAL CENTER JOINED EFFORTS WITH THE WORCESTER DIVISION OF PUBLIC HEALTH (WDPH) AND COMMON PATHWAYS, A HEALTHY COMMUNITIES COALITION THAT IS COMPRISED OF 30+ HEALTH AND HUMAN SERVICE ORGANIZATIONS, IN THE DEVELOPMENT OF ITS NEEDS ASSESSMENT REPORT. OVER AN EIGHT MONTH PERIOD FROM MAY TO DECEMBER 2012, THE DIRECTOR OF THE WDPH AND THE UMASS MEMORIAL VICE PRESIDENT OF COMMUNITY RELATIONS CO-CHAIRED THE LEADERSHIP PROCESS TO DEVELOP A COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR THE GREATER WORCESTER REGION. MORE THAN A TOTAL OF 3,000 INDIVIDUALS (INCLUDING PARTICIPANTS IN AN ONLINE COMMUNITY SURVEY) REPRESENTING DIVERSE INSTITUTIONS AND COMMUNITY ORGANIZATIONS FROM ACROSS THE REGION WORKED TOGETHER TO ESTABLISH A ROADMAP FOR THE FUTURE HEALTH OF THE REGION. INPUT FROM COMMUNITY STAKEHOLDERS AND EXPERTS WERE TAKEN INTO ACCOUNT IN THE COMPLETION OF THE CHA AND CHIP REPORTS. IN ADDITION, OUR HOSPITAL HAS A COMMUNITY BENEFITS ADVISORY COMMITTEE THAT PROVIDED GUIDANCE. THE CHIP IS NOT INTENDED TO BE A STATIC REPORT, BUT IS INTENDED TO FOCUS AND GUIDE THE BEGINNING OF A CONTINUOUS HEALTH IMPROVEMENT PROCESS THAT WILL MONITOR AND EVALUATE HEALTH PRIORITIES AND SYSTEM CHANGES IN AN ONGOING MANNER. THE GREATER WORCESTER CHIP PROVIDES AN APPROACH THAT IS STRUCTURED AND SPECIFIC ENOUGH TO GUIDE DECISIONS, AND FLEXIBLE ENOUGH TO RESPOND TO NEW HEALTH CHALLENGES. ITS INCLUSIVE PROCESS REPRESENTS A COMMON FRAMEWORK FOR ALL STAKEHOLDERS TO USE WHEN IMPLEMENTING STRATEGIES FOR IMPROVING POPULATION HEALTH.IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE CEO AND SENIOR LEADERSHIP WERE INVOLVED IN COMMUNITY-BASED EFFORTS RELATED TO NEEDS THAT WERE IDENTIFIED BY COMMUNITY STAKEHOLDERS SUCH AS INCLUDING, BUT NOT LIMITED TO, CO-CHAIRING THE PIONEERING HEALTHY COMMUNITIES (A HEALTHY WEIGHT COALITION), THE CITY OF WORCESTER YOUTH OFFICE, WORKFORCE CENTER YOUTH PROGRAMS AND THE WORCESTER COUNTY FOOD BANK. OUR SENIOR LEADERSHIP, INCLUDING THE COMMUNITY BENEFITS VICE PRESIDENT ADDITIONALLY REMAINS IN CLOSE RELATIONSHIP WITH CITY GOVERNMENT, SCHOOLS, HEALTH CARE AND HUMAN SERVICE ORGANIZATIONS AND NEIGHBORHOOD RESIDENTS. THE HECTOR REYES HOUSE, A LATINO SUBSTANCE ABUSE TREATMENT FACILITY, ADDITIONALLY REQUESTED A PSYCHIATRIST TO DO CONSULTING IN FY2013 AND AIDS PROJECT WORCESTER HAS ALSO REQUESTED A NURSE PRACTITIONER TO CONDUCT STD SCREENING AND TREATMENT FOR CHLAMYDIA, GONORRHEA AND SYPHILIS DUE TO THE CLOSING OF THE HEALTH AWARENESS CLINIC. THE WORCESTER HOUSING AUTHORITY REQUESTED EXERCISE CLASSES FOR THEIR ELDERLY RESIDENTS.CLINTON HOSPITAL:IN 2011, CLINTON HOSPITAL PARTICIPATED IN THE DEVELOPMENT OF A COMMUNITY NEEDS ASSESSMENT REPORT TITLED, THE COMMUNITY NEEDS ASSESSMENT OF CENTRAL MASSACHUSETTS. THE HOSPITAL WORKED WITH THE FOLLOWING ORGANIZATIONS TO COMPLETE THE ASSESSMENT: HEALTHALLIANCE HOSPITAL, COMMUNITY HEALTH NETWORK OF NORTH CENTRAL MASSACHUSETTS (CHNA 9), THE JOINT COALITION ON HEALTH OF NORTH CENTRAL MASSACHUSETTS AND THE MINORITY COALITION OF NORTH CENTRAL MASSACHUSETTS. THE HOSPITAL IS IN THE PROCESS OF IDENTIFYING PRIORITIES AND DEVELOPING AN IMPLEMENTATION PLAN WHICH WILL BE COMPLETED IN FY2013. HEALTHALLIANCE HOSPITAL:IN 2011, HEALTHALLIANCE HOSPITAL PARTICIPATED IN THE DEVELOPMENT OF A COMMUNITY NEEDS ASSESSMENT REPORT TITLED, THE COMMUNITY NEEDS ASSESSMENT OF CENTRAL MASSACHUSETTS. THE HOSPITAL WORKED WITH THE FOLLOWING ORGANIZATIONS TO COMPLETE THE ASSESSMENT: CLINTON HOSPITAL, COMMUNITY HEALTH NETWORK OF NORTH CENTRAL MASSACHUSETTS (CHNA 9), THE JOINT COALITION ON HEALTH OF NORTH CENTRAL MASSACHUSETTS AND THE MINORITY COALITION OF NORTH CENTRAL MASSACHUSETTS. THE HOSPITAL IS IN THE PROCESS OF IDENTIFYING PRIORITIES AND DEVELOPING AN IMPLEMENTATION PLAN WHICH WILL BE COMPLETED IN FY2013.MARLBOROUGH HOSPITAL:MARLBOROUGH HOSPITAL CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN FY2010/2011 WITH INPUT FROM A WIDE ARRAY OF COMMUNITY STAKEHOLDERS AND IS CURRENTLY DEVELOPING ITS PLAN TO UPDATE ITS CHNA AND WILL DEVELOP AN IMPLEMENTATION PLAN DURING FY2013. THE MARLBOROUGH PUBLIC SCHOOLS REQUESTED ASSISTANCE WITH TRACKING BMIS FOR ALL STUDENTS IN THE PUBLIC SCHOOLS.WING MEMORIAL HOSPITAL:WING MEMORIAL HOSPITAL CONDUCTED ITS MOST RECENT NEEDS ASSESSMENT IN FY2010 AND IS IN THE PROCESS OF WORKING WITH SEVERAL AREA HOSPITALS AND COMMUNITY STAKEHOLDERS TO UPDATE ITS CHNA AND DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN WHICH WILL BE COMPLETED IN FY2013. OTHER COMMUNITY NEEDS ARE ALSO IDENTIFIED THROUGH AN ESTABLISHED WORKING RELATIONSHIP WITH THE BELCHERTOWN BOARD OF HEALTH AND AREA SCHOOLS.
PART VI, LINE 3: PATIENT ED OF ELIGIBILITY FOR ASSISTANCE - UMASS MEMORIAL INFORMS AND EDUCATES PATIENTS/OTHERS ABOUT ELIGIBILITY FOR AVAILABLE COVERAGE AND/OR CHARITY CARE BY EMPLOYING A LARGE (25+) STAFF OF FINANCIAL COUNSELORS, EXPERT IN MATCHING PATIENTS TO AVAILABLE COVERAGE AND CHARITY CARE OPTIONS AND ASSISTING PATIENTS THROUGH THE APPLICATION PROCESS. FURTHER, UMASS MEMORIAL WORKS TO CONNECT POTENTIALLY ELIGIBLE PATIENTS TO OUR FINANCIAL COUNSELORS THROUGH- WIDELY DISTRIBUTED BROCHURES- SIGNS POSTED IN HIGH TRAFFIC PATIENT AREAS- EDUCATION OF OUR CLINICIANS- ATTENDANCE AT NUMEROUS COMMUNITY OUTREACH EVENTS- REFERRAL OF ALL SELF-PAY PATIENTS AT THE POINT OF OUTPATIENT SCHEDULING/REGISTRATION- VISITS TO INPATIENTS WITHOUT HEALTH INSURANCE OR WITH COVERAGE GAPS- BILLBOARDS POSTED IN THE COMMUNITY- MESSAGES ON ALL PATIENT BILLS AND STATEMENTS- MAILINGS TO PATIENTS- CONVENIENT FINANCIAL COUNSELOR LOCATIONS WITHIN OR CONTIGUOUS TO CLINICAL AREAS.
PART VI, LINE 4: GEOGRAPHICAL REACH - UMASS MEMORIAL HEALTH CARE SERVES APPROXIMATELY ONE MILLION RESIDENTS OF CENTRAL NEW ENGLAND. OUR CENTRAL MASSACHUSETTS SERVICE AREA INCLUDES ALL SIXTY CITIES AND TOWNS IN WORCESTER COUNTY FROM THE NEW HAMPSHIRE BORDER IN THE NORTH TO THE CONNECTICUT AND RHODE ISLAND BORDERS IN THE SOUTH. IT EXTENDS TO THE WEST INTO SEVEN TOWNS IN HAMPDEN COUNTY AND THREE TOWNS IN HAMPSHIRE COUNTY. FIVE HOSPITALS SERVE THIS GEOGRAPHIC AREA.REGIONAL DESCRIPTION - THE CENTRAL NEW ENGLAND REGION IS A MIX OF CITIES AND URBANIZED CENTERS, SUBURBS, SMALL TOWNS AND RURAL AREAS WITH SOME AGRICULTURE. SEVEN TOWNS IN OUR SERVICE AREA ARE DEFINED BY THE U.S. DEPARTMENT OF HEALTH, HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AS RURAL BASED ON THEIR RURAL URBAN COMMUNITY AREA (RUCA) CODES, 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. SEVERAL TOWNS AND CITIES IN THE NORTH COUNTY ARE DESIGNATE BY HRSA AS HPSAS AND AS HAVING MEDICALLY-UNDERSERVED POPULATIONS (MUPS), ANOTHER DESIGNATION INDICATING NEED BECAUSE THEIR RESIDENTS FACE ECONOMIC, LINGUISTIC AND CULTURAL BARRIERS TO CARE. THE CITY OF WORCESTER HAS SEVERAL NEIGHBORHOODS WITH A SHORTAGE OF HEALTH PROVIDERS AND HRSA HAS DETERMINED THAT MANY CENSUS TRACTS IN THE CITY ARE MEDICALLY-UNDERSERVED AREAS (MUAS).ECONOMIC CHARACTERISTICS - THE U.S. CENSUS DATA FOR 2010 INDICATED THAT THE MEDIAN HOUSEHOLD INCOME FOR WORCESTER COUNTY WAS $29,316. FOR THE CITY OF WORCESTER, THE REGION'S LARGEST URBAN AREA, IT WAS CONSIDERABLY LOWER AT $23,135. ACCORDING TO THE CENSUS DATA, OF THE CITY'S TOTAL 181,045 RESIDENTS, 19.4% ARE LIVING BELOW THE POVERTY LEVEL. THE NUMBER OF CHILDREN UNDER THE AGE OF 18 LIVING BELOW THE POVERTY LEVEL ROSE TO 29.6% IN 2010 FROM 25% IN 2005-2009. (SOURCE: U.S. CENSUS 2010 AND 2010 AMERICAN COMMUNITY SURVEY 1-YEAR ESTIMATES, U.S. CENSUS.) THE UNEMPLOYMENT RATE IN WORCESTER COUNTY RANGED BETWEEN 9.3 IN JANUARY 2011 AND 7.2 IN DECEMBER 2011. (SOURCE: MASSACHUSETTS EXECUTIVE OFFICE OF LABOR WORKFORCE AND DEVELOPMENT.) THESE FACTORS HAVE RESULTED IN A STRONG NEED FOR FOOD ASSISTANCE SERVICES. FOR EXAMPLE, ACCORDING TO THE MASSACHUSETTS DEPARTMENT OF EDUCATION, 64% OF STUDENTS IN THE WORCESTER PUBLIC SCHOOL SYSTEM RECEIVE FREE SCHOOL LUNCH. (SOURCE: MASSACHUSETTS DEPARTMENT OF EDUCATION.) SINCE 2008, UMASS MEMORIAL HEALTH CARE FACILITIES HAVE FILED OVER 5,000 SNAP (FOOD STAMP) AND SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC) APPLICATIONS. CENTRAL MASSACHUSETTS HAS ALSO BEEN HARD-HIT BY THE FORECLOSURES CRISIS. BETWEEN 2006 AND 2011, THERE WERE NEARLY 26,000 FORECLOSURES IN WORCESTER COUNTY. (SOURCE: REALTYRAC, THE WARREN GROUP.) WHILE THE NUMBER OF FORECLOSURE PETITIONS IN THE REGION DECREASED IN 2011, THE TIME PERIOD FOR FORECLOSURES TO BE COMPLETED HAS INCREASED, SO AN UPTICK IS EXPECTED IN FORECLOSURES AS PREVIOUSLY FILED PETITIONS ARE COMPLETED IN THE COMING TWO YEARS.DEMOGRAPHIC AND HEALTH FACTORS - THE DEMOGRAPHICS OF THE REGION VARY WIDELY ACROSS THE REGION. WORCESTER COUNTY HAS A TOTAL POPULATION OF 798,552 AND IS 86% WHITE. THE CITY OF WORCESTER IS A LEADING RESETTLEMENT SITE FOR IMMIGRANTS DUE TO ITS LOWER COST OF LIVING AND AVAILABLE SERVICES AND ACCOUNTS FOR THE GREATEST INCREASE OF DIVERSITY IN THE REGION. ACCORDING TO U.S. CENSUS 2010 FIGURES, THE HISPANIC POPULATION AND OTHER NON-HISPANIC, NON-WHITE ETHNIC GROUPS HAVE NOTABLY INCREASED WHILE THE WHITE, NON-HISPANIC POPULATION HAS DECREASED. THE NUMBER OF HISPANICS LIVING IN THE CITY OF WORCESTER HAS GROWN BY 35% AND BY MORE THAN 46% STATEWIDE OVER THE PAST 10 YEARS. THE CITY'S FOREIGN BORN POPULATION IS SIGNIFICANTLY HIGHER THAN WORCESTER COUNTY AS A WHOLE, ACCOUNTING FOR THE MAJORITY OF THIS POPULATION IN THE REGION. THE CITY'S FOREIGN BORN POPULATION IS ALSO SIGNIFICANTLY HIGHER COMPARED TO THE NATION AND STATE OVERALL. ADDING TO THIS DIVERSITY IS AN INFLUX OF IMMIGRANTS AND NEW ARRIVAL REFUGEES. REFUGEES FROM IRAQ CURRENTLY ACCOUNT FOR THE GREATEST PERCENTAGE OF NEW IMMIGRANTS FOLLOWED BY REFUGEES FROM BHUTAN, BURMA AND LIBERIA. THIS GROWING DIVERSITY HAS BROADENED THE NEED FOR INTERPRETER SERVICES FOR MEDICAL CARE. FOR EXAMPLE, IN ITS FISCAL YEAR 2012, UMASS MEMORIAL HEALTH CARE DELIVERED 144,320 DOCUMENTED INTERPRETATIONS FOR MEDICAL SERVICES IN OVER 133 LANGUAGES. NINETY PERCENT OF ALL INTERPRETATIONS PROVIDED BY UMMHC WERE CONDUCTED IN: SPANISH, PORTUGUESE, VIETNAMESE, ARABIC, ALBANIAN AND AMERICAN SIGN LANGUAGE. THE REMAINING TEN PERCENT WERE CONDUCTED IN OTHER "NON-PRIMARY" LANGUAGES, THE POOL OF WHICH CONSISTS OF 81 DIFFERENT LANGUAGES. THE SENIOR POPULATION IN THE REGION ALSO CONTINUES TO GROW AS BABY BOOMERS REACH THE AGE OF 65. ACCORDING TO THE U.S. CENSUS, RESIDENTS BETWEEN THE AGES OF 20-64 ACCOUNT FOR THE MAJORITY OF THE POPULATION IN WORCESTER COUNTY AT 61%.ACCESS TO CARE - APPROXIMATELY 90% OF PEOPLE HAVE HEALTH INSURANCE. DESPITE THIS, THERE REMAINS A CHURNING OF ENROLLMENTS WITH MANY DROPPING OFF. HEALTH INSURANCE ENROLLMENT REMAINS AN ISSUE AS EVIDENCED BY UMMHC'S RATES OF ENROLLMENT ASSISTANCE IN HEALTH SAFETY NETWORK, COMMONWEALTH CARE AND MEDICAID APPLICATIONS.CHRONIC DISEASE OVERVIEW:- OVERWEIGHT & OBESITY: HIGH RATES OF OVERWEIGHT AND OBESITY ARE A LEADING PUBLIC HEALTH CONCERN IN THE REGION AND PARTICULARLY IN THE CITY OF WORCESTER. LOWER-INCOME RESIDENTS ARE SIGNIFICANTLY MORE LIKELY TO SUFFER FROM OBESITY AND OTHER DIET-RELATED HEALTH PROBLEMS. NEARLY 70% OF HISPANIC ADULTS IN THE REGION WERE OVERWEIGHT OR OBESE, BUT WITHIN ETHNIC GROUPS, BLACKS WERE MORE LIKELY TO BE OBESE. CHILDREN LIVING IN THE CITY OF WORCESTER ARE OVERWEIGHT AT HIGHER RATES THAN THE STATE AS A WHOLE. OVERALL, THE AVERAGE FOR OBESE YOUTH ENTERING FIRST GRADE IN THE CITY OF WORCESTER IS 20.25% COMPARED TO THE NATIONWIDE AVERAGE OF 10%. PARTICULARLY ALARMING IS A DRAMATIC INCREASE IN THE PAST DECADE OF OBESITY AMONG 1ST GRADERS IN THE ASIAN COMMUNITY. IN WORCESTER COUNTY, OBESITY IS MORE PREVALENT AMONG MINORITY ETHNIC GROUPS. AMONG ADULTS, NEARLY 70% OF HISPANICS WERE OVERWEIGHT OR OBESE, BUT WITHIN ETHNIC GROUPS, BLACKS WERE MORE LIKELY TO BE OBESE. (SOURCE: MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH/MASSCHIP; DALE MAGEE, COMMISSIONER, WORCESTER DEPARTMENT OF PUBLIC HEALTH, HEALTH OF WORCESTER 2011 REPORT, WORCESTER PUBLIC SCHOOLS.)- DIABETES: THE PREVALENCE OF DIABETES AMONG WORCESTER COUNTY RESIDENTS IS SLIGHTLY LOWER THAN THE STATE AS A WHOLE. DIABETES IS MORE PREVALENT AMONG BLACK AND HISPANIC POPULATIONS AND THOSE 65 YEARS OLD AND OVER. THE PREVALENCE OF HEART DISEASE IN THE REGION IS SIGNIFICANTLY HIGHER AMONG LOWER INCOME RESIDENTS.- ASTHMA: ASTHMA AFFECTS PEOPLE OF ALL AGES, RACES, GENDERS AND SOCIO-ECONOMIC STATUS, HOWEVER, IT OCCURS AT DISPROPORTIONATELY HIGHER RATES AMONG SOME ETHNIC AND RACIAL POPULATIONS. THE PREVALENCE OF ASTHMA IS HIGHER AMONG FEMALES AND HISPANIC ADULTS IN WORCESTER COUNTY COMPARED TO THE STATE AND INCREASING AMONG CHILDREN AGES 0-19 YEARS OLD. (SOURCE: MDPH, MASSCHIP CUSTOMER REPORTS.)CONTINUED ON SCHEDULE O
PART VI, LINE 5: UMASS MEMORIAL HEALTH CARE UTILIZES QUANTITATIVE AND QUALITATIVE DATA AND COMMUNITY PARTICIPATORY ENGAGEMENT AS A MEANS TO IDENTIFY ISSUES IMPACTING THE HEALTH OF THE COMMUNITY. AS SUCH, ONE OF OUR KEY STRATEGIES IS ENSURING THAT OUR CLINICAL SYSTEM LEADERS ARE INVOLVED AND ACTIVELY PARTICIPATE IN AREA COALITIONS AND PLANNING EFFORTS. THIS MEANS THAT WE ARE CONVENING MEETINGS WITH REPRESENTATIVES FROM VARIOUS NEIGHBORHOODS, COMMUNITY ORGANIZATIONS AND NEW IMMIGRANT GROUPS, SOLICITING INPUT AND RECOMMENDATIONS, PARTICIPATING IN COMMUNITY-BASED ETHNIC EVENTS AND CO-CHAIRING INITIATIVES. FOR EXAMPLE, THE CEO OF THE CLINICAL SYSTEM AND MEMBERS OF OUR SENIOR LEADERSHIP CO-CHAIR COALITIONS AND PARTICIPATE AS MEMBERS OF MULTIPLE BOARDS THAT ARE ADDRESSING IDENTIFIED DISPARITIES AND PUBLIC HEALTH NEEDS. IN WORCESTER WE'VE PLAYED AN IMPORTANT ROLE BY FUNDING THE POSITION OF THE DEPARTMENT OF PUBLIC HEALTH COMMISSIONER AND HAVE TAKEN A LEADERSHIP ROLE WITH THE DIRECTOR OF PUBLIC HEALTH IN THE PLANNING AND DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. EACH HOSPITAL HAS DESIGNATED COMMUNITY BENEFITS STAFF THAT WORK WITHIN THEIR RESPECTIVE COMMUNITIES. IN ADDITION, OUR HOSPITALS WORK CLOSELY WITH THEIR RESPECTIVE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH COMMUNITY HEALTH NETWORK AREAS IN ADDRESSING HEALTH NEEDS.
PART VI, LINE 6: UMASS MEMORIAL HEALTH CARE IS THE LARGEST NOT-FOR-PROFIT HEALTH CARE SYSTEM IN CENTRAL NEW ENGLAND. THROUGH THE COLLECTIVE EFFORTS OF UMASS MEMORIAL MEDICAL CENTER AND FOUR COMMUNITY HOSPITALS CLINTON HOSPITAL, HEALTH ALLIANCE HOSPITAL, MARLBOROUGH HOSPITAL AND WING MEMORIAL HOSPITAL AND MEDICAL CENTERS, WE ARE IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. OUR FIVE HOSPITALS WORK WITH THEIR RESPECTIVE COMMUNITIES TO IDENTIFY AND PRIORITIZE COMMUNITY NEEDS. OUR COMMUNITY BENEFITS MISSION WAS DEVELOPED AND RECOMMENDED BY A COMMUNITY BENEFITS ADVISORY COMMITTEE AND APPROVED BY THE BOARD OF TRUSTEES OF THE CLINICAL SYSTEM AND HAS BEEN ADOPTED BY ALL FIVE HOSPITALS. A STANDING COMMUNITY BENEFITS COMMITTEE HAS BEEN ESTABLISHED AT THE BOARD OF TRUSTEE LEVEL TO OVERSEE THE CLINICAL SYSTEM'S RESPONSIBILITIES TO THE COMMUNITY AND TO STRENGTHEN OUR ORGANIZATIONAL COMMITMENT AND ACCOUNTABILITY. EACH HOSPITAL'S COMMUNITY BENEFITS PROGRAM FOCUSES ON THE NEEDS OF UNDERSERVED POPULATIONS AND SUPPORTS ADDRESSING IDENTIFIED UNMET HEALTH NEEDS. IN ADDITION, EACH HOSPITAL HAS ITS OWN COMMUNITY BENEFITS PROGRAM STAFF AND AS SUCH HAS DEVELOPED COMMUNITY LINKAGES WITHIN THEIR SERVICE AREA THAT ARE WORKING TOWARDS ADDRESSING THE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITY. ALL FIVE HOSPITALS: UMASS MEMORIAL MEDICAL CENTER, CLINTON HOSPITAL, HEALTHALLIANCE HOSPITAL, MARLBOROUGH HOSPITAL AND WING MEMORIAL HOSPITAL FILE INDIVIDUAL COMMUNITY BENEFITS REPORTS WITH THE MASSACHUSETTS ATTORNEY GENERAL.
MAREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC
19 TACOMA STREETWORCESTERMA01605042513817501 (C) (3)1000000SUPPORT FOR HEALTH CENTER'S MISSION
FAMILY HEALTH CENTER OF WORCESTER INC
26 QUEEN STREETWORCESTERMA01610042485308501 (C) (3)1000000SUPPORT FOR HEALTH CENTER'S MISSION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients28NumberOfRecipients
Amount Of Cash Grant56000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationPART I LINE 2: GRANTS - AT REASONABLE INTERVALS, RE-EVALUATION OF THE GRANTS OCCURS TO ENSURE THAT THE ARRANGEMENTS ARE EXPECTED TO CONTINUE TO SATISFY THE STANDARD SET FORTH. THE HEALTH CENTERS WILL DOCUMENT THE RE-EVALUATION CONTEMPORANEOUSLY. PART I LINE 2: SCHOLARSHIPS - PRIOR TO THE DISTRIBUTION OF ANY AND ALL SCHOLARSHIP FUNDS, HEALTHALLIANCE REQUIRES VERIFICATION OF PROGRAM ENROLLMENT FROM ALL RECIPIENTS. PART II LINE 1(H): 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.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (62 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANDRIENI JULIA MD
270115038324000122500117620332451000
BROWN ALAN P MD
16797402366600098790235740225093000
BROWN DOUGLAS S
3618910142242035635016139602271207238760356350
CARLUCCI DANIEL MD
280083049020000122500288540370207000
CAVAGNARO CHARLES III MD
2990180846700001527880253740561850000
CHANDLER WILLIS
26257006896801741807843801999704473910174180
COFONE MICHAEL J
2389910321920123207610219600295136000
CORBETT WILLIAM MD
28832507849303006606985402076604875040300660
DALY SHEILA
198859053342013981011171201798503958790139810
DICKSON ERIC M MD
386455011655001916106733006109306505890177840
FERGUSON R KEVIN MD
195513036569000118580248780268818000
FERRUCCI JOSEPH MD
358431031585000122500264090428675000
FINBERG ROBERT W MD
2397760515930001179890301610439519000
GOTTLIEB PHILIP D MD
2315960137971000122500235720405389000
KEATING TODD A
4634930108306040228024192201609608700450402280
KENNEDY KATHRYN MD
230036054872000122500288360325994000
LAPIDAS GARY N
360855075601043484018558501036606758910434840
LASSER DANIEL H MD
2031470809730002839520253650593437000
MAGUIRE DAVID L MD
200000039285039609622015300250833000
MATTA LALITA MD
1114770145450347028540220060151229000
MESSINA LOUIS MD
4015100224284000122500273250665369000
MULDOON PATRICK L
382214078135044511017654203118007125820445110
O'BRIEN JOHN G
92460302497500170629099440901906402358455000
OKIKE O NSIDINANYA MD
365324020701000280080268010440834000
O'LEARY DANIEL J MD
14479101528005110009740161556000
POLANOWICZ JOHN
987400008180548980186550173111000
SOAR BART MD
142356012600060067490100440171809000
SWENSON DANA
2288840615970001037450207660414992000
TOSI STEPHEN E MD
330820010604002156250241165025619091926901532720
WESOLOWSKI PAUL
167637041500052401704048320216197000
ZIEDONIS DOUGLAS MD
186287034520000114790271620259448000
ALLICON KEARY T
140919015288000338160206560210679000
BERGAN THOMAS
1921540261990667310141499010069043665202132110
DION JEFFREY
115317000393960349710154980205182000
EKSTROM DEBORAH
187953035106015322011742902530103811110145680
FELDMANN ROBERT
2414090610280001604090212970484143000
FRAKER MURIEL E ESQUIRE
16513608520000691770268070269640000
MCCUE STEVEN
158766028501000152740187850221326000
O'BRIEN WILLIAM H
11259407922000404430243560185315000
SMITH FRANCIS W
168758010428000399340257670244887000
STREETER MICHELE M
274665069091025666014277802073605329360256660
ANDERSON MILTON C
1282880778809000014494079690167539000
BLUTE MICHAEL MD
51607401255080001090300329980783610000
BOLLAND KATHARINE
216382055263000248300189790315454000
BRENCKLE GEORGE PHD
293540069697031590011400002453105333580315900
DALEY JENNIFER MD
45736401013080001045240332630696459000
DIAMOND VICTORIA
253561069009022832012500702751004979190228320
ETTINGER WALTER H MD
71393101872330755880313312021518013115820706180
FAIRCHILD DAVID MD
199275019471000217250110400251511000
FISHER BARBARA
2429450638770001017870228460431455000
HYLKA SHARON
297856079784037734025415002151806910420377340
KLUGMAN ROBERT MD
380638092637036365025447202355807876700363650
KRUGER NANCY
28762906221205627704705101132404644930369550
LAPRIORE CHERYL M
211340044285000357160214260312767000
PHILLIPS ROBERT A MD
59051701474990744550253043012597010781110744550
RANDOLPH JOHN T
1904510461320001388210245180399922000
AROUS ELIAS J MD
487893099318000122500243250623786000
DUNN RAYMOND M MD
2756460302977000122500235540614427000
TAM STANLEY MD
509003053942000122500264090601604000
AYERS DAVID C MD
528513033620000122500264240600807000
WHOLEY RICHARD M MD
55428500000197540288550602894000
SUSSMAN ANDREW J
000018824605910001888370561830

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ASPLIT DOLLAR GROSS UP CALCULATIONS TO JOHN O'BRIEN AND WALTER ETTINGER WHICH ARE TREATED AS TAXABLE COMPENSATION.
PART I, LINE 4BNAME OF PARTICIPANTS IN OR RECEIVING PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN EXECUTIVES BERGAN, THOMAS $27,800 BROWN, DOUGLAS S. $35,635 CAVAGNARO, CHARLES III, M.D. $0 CHANDLER, WILLIS $17,418 COFONE, MICHAEL J. $0 CORBETT, WILLIAM M.D. $30,066 DALY, SHEILA $13,981 DICKSON, ERIC, M.D. $17,784 EKSTROM, DEBORAH $14,568 FELDMANN, ROBERT $0 FINBERG, ROBERT W., M.D. $0 KEATING, TODD A. $40,228 LAPIDAS, GARY N. $43,484 MOORE, KAREN $0 MULDOON, PATRICK L. $44,511 O'BRIEN, JOHN G. $0 POLANOWICZ, JOHN $0 STREETER, MICHELE M. $25,666 SWENSON, DANA $0 TOSI, STEPHEN E., M.D. $153,272 SUBTOTAL EXECUTIVES $464,413 KEY EMPLOYEES ANDERSON, MILTON C. $0 BLUTE, MICHAEL, M.D. $0 BRENCKLE, GEORGE, PH.D. $31,590 BOLLAND, KATHERINE $0 DALEY, JENNIFER M.D. $0 DIAMOND, VICTORIA $22,832 ETTINGER, WALTER H., M.D. $70,618 FAIRCHILD, DAVID M.D. $0 FISHER, BARBARA $0 HYLKA, SHARON $37,734 KLUGMAN, ROBERT, M.D. $36,365 KRUGER, NANCY $36,955 LAPRIORE, CHERYL M. $0 PHILLIPS, ROBERT A., M.D. $74,455 RANDOLPH, JOHN $0 WEBB, PATRICIA $25,301 SUBTOTAL KEY EMPLOYEES $335,850 FORMER O/D OR KEY EMPLOYEES ANDREW SUSSMAN $56,183 SUBTOTAL FORMER $56,183 TOTAL - ALL $856,446
PART IIIPART II - DISCLOSURES: 1) JOHN O'BRIEN'S RETIREMENT AND OTHER DEFERRED COMPENSATION AMOUNT INCLUDES A CONTINGENT DEFERRED COMPENSATION ACCRUAL OF $928,633 WHICH REMAINS THE PROPERTY OF UMASS MEMORIAL UNTIL AND UNLESS THE TERMS OF THE DEFERRED AGREEMENT ARE FULFILLED. 2) THE ABOVE DIRECTORS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR. PART II - UNRELATED ORGANIZATION: THE OFFICERS, DIRECTORS AND HIGHEST COMPENSATED EMPLOYEES LISTED IN PART II THAT RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION WERE PAID FOR THEIR SERVICES RELATED TO MEDICAL RESEARCH, EDUCATION OF MEDICAL STUDENTS AND RESIDENT TRAINING. AMOUNTS INCLUDE THEIR BASE COMPENSATION AND DEFERRED COMPENSATION FOR CALENDAR YEAR 2011. THE NAME OF THE UNRELATED ORGANIZATION IS UMASS MEDICAL SCHOOL. PART III - UNRELATED ORGANIZATION COMPENSATION ANDRIENI, JULIA, M.D. $94,903 BROWN, ALAN P., M.D. $59,061 CARLUCCI, DANIEL, M.D. $90,550 FERRUCCI, JOSEPH, M.D. $254,202 FINBERG, ROBERT W., M.D. $290,601 KENNEDY, KATHRYN, M.D. $35,987 LASSER, DANIEL H., M.D. $251,498 MESSINA, LOUIS, M.D. $71,120 ZIEDONIS, DOUGLAS, M.D. $207,867 AROUS, ELIAS J., M.D. $150,248 DUNN, RAYMOND M., M.D. $143,837 TAM, STANLEY, M.D. $191,607 AYERS, DAVID C., M.D. $156,709 WHOLEY, RICHARD M., M.D. $82,250 TOTAL COMPENSATION $2,080,440SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MHEFA-UMASS MEMORIAL SERIES D
04245601157586CLQ62005-08-18107450000SEE PART VI000
MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES E
04245601157586EH272009-05-2230000000SEE PART VI000
MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES F
04245601157586EH272009-05-2230000000SEE PART VI000
MHEFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A
0424560112009-11-249420000SEE PART VI000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredAmount UnspentAmountUnspent
110171337107094155411300138473130771919500000020060011
30061623460511205455267039152012000112900003152253
30061720620382118700267239152012000112900003219105
942000022354493458932654220091011549000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001100.005800.005801
00001
00001
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
100000
110001
110001
110001
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I - BOND ISSUES(A) ISSUER NAMEMHEFA - UMASS MEMORIAL, SERIES D MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F MHEFA - MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL, SERIES G MDFA - UMASS MEMORIAL MASTER LEASE MDFA - UMASS MEMORIAL, SERIES H MDFA - UMASS MEMORIAL, MASTER LEASE
PART I - BOND ISSUEMHEFA - UMASS MEMORIAL, SERIES DPART I COLUMN (C ) CUSIP #: 57586CLQ6 PART I COLUMN (F) DESCRIPTION OF PURPOSE: COMPLETION OF THE EXPANSION OF THE EMERGENCY DEPT AND ROUTINE CAPITAL EQUIPMENT AND/OR RENOVATION PROJECTS
PART I - BOND ISSUEMHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES EPART I COLUMN (C ) CUSIP #: 57586EH27 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUEMHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES FPART I COLUMN (C ) CUSIP #: 57586EH27 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUEMHEFA - MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES APART I COLUMN (F) DESCRIPTION OF PURPOSE: PAY OFF HEFA POOL O LOAN, ER RENOVATIONS,EICU EQUIPMENT,CT SCAN LEASE,MAMMOGRAPHY UNIT
PART I - BOND ISSUEMHEFA - UMASS MEMORIAL, SERIES GPART I COLUMN (C ) CUSIP #: 57586EUS8 - 57586EUT6 - 57586EUU3 - 57586EUV1 - 57586EUW9 - 57586EUX7 - 57586EVE8 - 57586EUY5 - 57586EVF5 - 57586EUZ2 - 57586EVG3 - 57586EVA6 - 57586EVH1 - 57586EVB4 - 57586EVJ7 - 57586EVC2 - 57586EVD0 PART I COLUMN (F) DESCRIPTION OF PURPOSE: REFUNDING OF CENTRAL NEW ENGLAND HEALTH ALLIANCE SERIES A BOND (1993) AND MEDICAL CENTER OF CENTRAL MASSACHUSETTS, SERIES B (1992)
PART I - BOND ISSUEMHEFA - UMASS MEMORIAL, SERIES HPART I COLUMN (C ) CUSIP #: 57583UGP7 - 57583UGQ5 - 57583UGR3 - 57583UGS1 - 57583UGT9 - 57583UGU6 - 57583UGV4 - 57583UGW2 - 57583UHC5 - 57583UGX0 - 57583UGY8 - 57583UGZ5 - 57583UHA9 - 57583UHB7 PART I COLUMN (F) DESCRIPTION OF PURPOSE: PARTIAL REFUNDING OF MEDICAL CENTER VARIABLE RATE SERIES A BONDS (1998), REFUNDING IN FULL OF CENTRAL NEW ENGLAND HEALTH ALLIANCE SERIES B BONDS (1998) AND UMASS MEMORIAL SERIES C (2001).
PART II - PROCEEDSDIFFERENCE BETWEEN PART I, COLUMN(E) AND PART II, LINE 3MHEFA - UMASS MEMORIAL, SERIES D COLUMN (E) ISSUE PRICE OF $107,450,000; ADD ISSUE PREMIUM OF $604,814, ADD INTEREST EARNED ON PROCEEDS OF $3,077,191, LESS ISSUE DISCOUNT OF ($960,668), EQUALS LINE 3 OF $110,171,337. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $61,623, EQUALS LINE 3 OF $30,061,623. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $61,720, EQUALS LINE 3 OF $30,061,720. MHEFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $717,238, EQUALS LINE 3 OF $20,717,238. MHEFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $152,952, EQUALS LINE 3 OF $20,152,952. MHEFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $24,254, EQUALS LINE 3 OF $20,024,254. MHEFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $5,301, EQUALS LINE 3 OF $20,005,301. MHEFA - UMASS MEMORIAL, SERIES G COLUMN (E) ISSUE PRICE OF $60,445,000; ADD ISSUE PREMIUM OF $1,388,656 ADD INTEREST EARNED ON PROCEEDS OF $180, EQUALS LINE 3 OF $61,833,836. MDFA - UMASS MEMORIAL, SERIES H COLUMN (E) ISSUE PRICE OF $90,990,000; ADD ISSUE PREMIUM OF $1,303,778, EQUALS LINE 3 OF $92,293,778. MDFA - UMASS MEMORIAL, MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $12,480, EQUALS LINE 3 OF $20,012,480.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MHEFA-UMASS MEMORIAL MASTER LEASE
0424560112005-12-0710000000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL MASTER LEASE
0424560112006-12-2720000000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL MASTER LEASE
0424560112008-04-2420000000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL MASTER LEASE
0424560112009-07-2420000000CAPITAL EQUIPMENT000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpenditures
10000000100000001000000020060011
190843262071723819973035200700119581426965717238
1439083720152952199709282009001120988829072152952
1005927320024254199957542010001138952328500

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00001
00001
00001
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
100001
100001
100001
100001

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MHEFA-UMASS MEMORIAL SERIES G
04245601157586EUS82010-05-2760445000SEE PART VI000
MHEFA-UMASS MEMORIAL MASTER LEASE
0434318142010-12-0920000000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL SERIES H
04343181457583UGP72011-08-1090990000SEE PART VI000
MDFA-UMASS MEMORIAL MASTER LEASE
0434318142011-12-2820000000CAPITAL EQUIPMENT000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspent
937500061833836264668860734797109903920100011
5632807200053012628683303120110011530119966969
2325000922937784037662910538221235315201110014641
239711120012480228997290002012000112480172374822733515

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00001
00001
00001
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
100001
100001
100001
100001

Schedule L IRS990ScheduleL

Loan Table LoanTable (4 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
FLOYD CONNELLY
CSV OF LIFE INSURANCE - FORMER EXECUTIVE DIRECTOR OF CMMIC, INC.X$455,570276912011
THOMAS CUMMINGS
CSV OF LIFE INSURANCE - FORMER CEO OF MARLBOROUGH HOSPITALX$377,630214869011
RICHARD H SCHEFFER
CSV OF LIFE INSURANCE - FORMER CEO OF WING MEMORIAL CORP.X$26,66040471011
WILLIAM J WILLIAMS
CSV OF LIFE INSURANCE - FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC.X$1,981,6273707284011
FieldValueIRS element (for citing)
Total Balance Due4239536TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (27 entries)

Sharing Of RevenuesSharingOfRevenuesRelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransaction
(no name)
0
ROBERT KLUGMAN MD
0KEY EMPLOYEE217697RENTAL OF PROPERTY - EXPENSE
(no name)
0
FERNANDO CATALINA MD
0CURRENT DIRECTOR311508RENTAL OF PROPERTY - INCOME
(no name)
0
MICHAEL J LYONS MD
0CURRENT DIRECTOR311508RENTAL OF PROPERTY - INCOME
JOHN CLEMENTI
0CURRENT DIRECTOR141297RENTAL OF PROPERTY - EXPENSE
ANTHONY J MERCADANTE
0CURRENT DIRECTOR & FAMILY MEMBER OF NICHOLAS MERCADANTE230257INDEPENDENT CONTACTOR ARRANGEMENT
EDWARD MANZI
0CURRENT DIRECTOR198320RENTAL OF PROPERTY - EXPENSE
(no name)
0
(no name)
0
ROBERT HAVELES
0CURRENT DIRECTOR99541INDEPENDENT CONTACTOR ARRANGEMENT
KATHERINE COOLIDGE
0CURRENT DIRECTOR63910INDEPENDENT CONTACTOR ARRANGEMENT
(no name)
0
WILLIAM F SULLIVAN SR
0CURRENT DIRECTOR46452INDEPENDENT CONTACTOR ARRANGEMENT
JOHN BUDD
0CURRENT DIRECTOR621379INDEPENDENT CONTACTOR ARRANGEMENT
(no name)
0
(no name)
0
SUSAN ETTINGER NP
0FAMILY MEMBER OF WALTER ETTINGER, KEY EMPLOYEE UNTIL 1/20/1229066EMPLOYMENT ARRANGEMENT
KATHLEEN HYLKA
0FAMILY MEMBER OF SHARON HYLKA, KEY EMPLOYEE95396EMPLOYMENT ARRANGEMENT
JOANNE D'ONFRO
0FAMILY MEMBER OF PAUL D'ONFRO, DIRECTOR47308EMPLOYMENT ARRANGEMENT
ELLEN CARLUCCI
0FAMILY MEMBER OF DANIEL CARLUCCI, MD, DIRECTOR97627EMPLOYMENT ARRANGEMENT
CHERYL SWENSON RN
0FAMILY MEMBER OF DANA SWENSON, DIRECTOR20035EMPLOYMENT ARRANGEMENT
KATHRYN C MAY
0FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER42898EMPLOYMENT ARRANGEMENT
EILEEN HENRICKSON RN
0FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER113004EMPLOYMENT ARRANGEMENT
KAREN BUCKLEY RN
0FAMILY MEMBER OF MARY CARLSON, DIRECTOR64281EMPLOYMENT ARRANGEMENT
ELAINE GRANVILLE RN
0FAMILY MEMBER OF CHERYL LAPRIORE, KEY EMPLOYEE61511EMPLOYMENT ARRANGEMENT

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART II - LOANS FROM INTERESTED PERSONSTHE CASH VALUE OF LIFE INSURANCE POLICIES:NAME OF INTERESTED PERSON, TITLE, ORIGINAL PRINCIPAL AMOUNT, BALANCE DUETHOMAS CUMMINGS, FORMER CEO OF MARLBOROUGH HOSPITAL, $377,630, $214,869RICHARD H. SCHEFFER, FORMER CEO OF WING MEMORIAL CORP., $26,660, $40,471WILLIAM J. WILLIAMS, FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC., $1,981,627, $3,707,284FLOYD CONNELLY, FORMER DIRECTOR OF CMMIC, INC., $455,570, $276,912TOTAL ORIGINAL PRINCIPAL AMOUNT $2,841,487TOTAL BALANCE DUE $4,239,536AMOUNTS DUE FROM CURRENT AND FORMER OFFICERS PERTAIN TO SPLIT DOLLAR LIFE INSURANCE POLICIES OF THE RESPECTED INDIVIDUALS. THESE POLICIES WERE ORIGINATED AT VARIOUS TIMES DURING THE INSURED'S EMPLOYMENT WITH UMASS MEMORIAL HEALTH CARE, INC. THE CORRESPONDING POLICY PREMIUMS WERE FUNDED BY THE EMPLOYER AS AN EMPLOYEE BENEFIT. IN ACCORDANCE WITH IRS NOTICE 2002-8, TREASURY REGULATION 1.61-22 AND TREASURY REGULATION 1.7872-15, THESE PAYMENTS REQUIRE CLASSIFICATION AS LOANS DUE FROM THE INSURED. THESE LOAN BALANCES ARE REFLECTED AT THE LOWER OF THE DISCOUNTED CASH SURRENDER VALUE OR DISCOUNTED CUMULATIVE PREMIUMS PAID.
PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSSEVERAL OF OUR COMMUNITY HOSPITALS MAINTAIN LOCAL BANKING RELATIONSHIPS IN THEIR RESPECTIVE COMMUNITIES, WHICH HAVE BEEN ASSESSED AND MEET FAIR MARKET VALUE REQUIREMENTS. THE VALUE OF THESE RESPECTIVE RELATIONSHIPS ARE WELL BELOW THE DISCLOSURE THRESHOLDS.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2816NumberOfContributions
Noncash Contribs Rptd F990104682NoncashContribsRptdF990
Method Of Determining RevenuesFMV/SELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2DISCLOSURE YEAR, DISCLOSING INDIVIDUAL, TITLE/ROLE, RELATIONSHIP WITH, RELATIONSHIP UMMHC 2012 - BUDD, JOHN, BOARD MEMBER, PAUL D'ONFRO (BUSINESS), ARTHUR BERGERON (BUSINESS), HARVARD PILGRIM HEALTH CARE (BOARD MEMBER) 2012 - PHILLIPS, ROBERT, KEY EMPLOYEE, JULIA ANDRIENI (FAMILY) VENTURES 2012, NONE MEDICAL GROUP 2012, NONE MEMBER ENTITIES HEALTH ALLIANCE 2012 - MERCANDANTE, ANTHONY, BOARD MEMBER, NICHOLAS MERCANDANTE (FAMILY) 2012 - MERCANDANTE, NICHOLAS, BOARD MEMBER, ANTHONY MERCANDANTE (FAMILY) CHL 2012 - EKSTROM, DEBORAH, BOARD MEMBER, FIDELITY MUTUAL HOLDING COMPANY (BOARD MEMBER) & FIDELITY COOPERATIVE BANK (BUSINESS) MARLBOROUGH 2012 - MURPHY, MICHAEL, BOARD MEMBER, DANIEL CARLUCCI (BUSINESS), RICHARD BENNETT (BUSINESS), JOHN POLANOWICZ (BUSINESS), PHILIP PURCELL (BUSINESS) WING 2012 - PHANEUF, JAMES, BOARD MEMBER, CHARLES CAVAGNARO (BUSINESS), EDWARD J. NOONAN (BUSINESS), ROBERT S. HAVELES (BUSINESS), JAMES ST. AMAND (BUSINESS), PAUL SCULLY (BUSINESS), KATHERINE COOLIDGE (BUSINESS) 2012 - NOONAN, EDWARD, BOARD MEMBER, CHARLES CAVAGNARO (BUSINESS), JAMES ST. AMAND (BUSINESS), JAMES PHANEUF (BUSINESS), KATHERINE COOLIDGE (BUSINESS), ROBERT S. HAVELES (BUSINESS), PATRICK TURLEY (BUSINESS), ROLAND DESROCHERS (BUSINESS), ELAINE ANDERSON (BUSINESS) 2012 - DESROCHERS, ROLAND, BOARD MEMBER, CHARLES CAVAGNARO (BUSINESS), LINDA MITCHELL (BUSINESS) 2012 - TURLEY, PATRICK, BOARD MEMBER, LINDA MITCHELL (BUSINESS), EDWARD NOONAN (BUSINESS), RON CHRISTIANSEN (BUSINESS), PAUL SCULLY (BUSINESS) 2012 - HAVELES, ROBERT, BOARD MEMBER, EDWARD NOONAN (BUSINESS), JAMES PHANEUF (BUSINESS), LINDA MITCHELL (BUSINESS) , PATRICK TURLEY (BUSINESS) 2012 - CHRISTIANSEN, RONALD, BOARD MEMBER, JAMES PHANEUF (BUSINESS), PATRICK TURLEY (BUSINESS), LINDA MITCHELL (BUSINESS) 2012 - SCULLY, PAUL, BOARD MEMBER, RON CHRISTIANSEN (BUSINESS), PATRICK TURLEY (BUSINESS), ROBERT HAVELES (BUSINESS), JAMES PHANEUF (BUSINESS), CHARLES CAVAGNARO (BUSINESS), KATHERINE COOLIDGE (BUSINESS), LINDA MITCHELL (BUSINESS), ELAINE ANDERSON (BUSINESS) CLINTON 2012 - NONE
FORM 990, PART VI, SECTION A, LINE 6THERE ARE NO CLASSES OF DIRECTORS. THE VOTING RIGHTS OF THE 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 12CPAGE 6 SECTION B. POLICIES LINE 12 C: THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS AND MANAGEMENT TO COMPLETE ANNUAL DISCLOSURE STATEMENTS AND, TO UPDATE THESE DISCLOSURE STATEMENTS FOR SIGNIFICANT CHANGES IN THEIR OUTSIDE GOVERNANCE AND PROFESSIONAL ACTIVITIES OR, FINANCIAL RELATIONSHIPS AS APPROPRIATE. ADDITIONALLY, ALL TRANSACTIONS INVOLVING BOARD MEMBERS OR MANAGEMENT AND THE ORGANIZATION ARE REQUIRED TO BE APPROVED BY THE COMPLIANCE COMMITTEE OF THE BOARD AND, THERE IS ACTIVE MONITORING AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH DECISIONS.
FORM 990, PART VI, SECTION B, LINE 15PAGE 6 SECTION B. POLICIES LINE 15 B: AT UMASS MEMORIAL, ALL COMPENSATION MATTERS FOR THE CEO AND SENIOR EXECUTIVES THROUGHOUT THE SYSTEM (INCLUDING ALL "DISQUALIFIED PERSONS") ARE GOVERNED AND OVERSEEN BY THE BOARD OF TRUSTEES OF THE PARENT. THE BOARD APPROVED A COMPENSATION PHILOSOPHY THAT GOVERNS ALL SUCH DECISIONS. THE PHILOSOPHY INCLUDES THE OBJECTIVES OF THE PROGRAM, COMPONENTS OF EXECUTIVE COMPENSATION, THE RELEVANT MARKET, POSITIONING IN THE MARKET, FACTORS CONSIDERED IN SETTING EXECUTIVE COMPENSATION AND THE IMPORTANCE OF TYING SUCH COMPENSATION TO PERFORMANCE. THE BOARD ESTABLISHED A COMPENSATION COMMITTEE, MADE UP OF DISINTERESTED TRUSTEES, WHO ARE GIVEN THE AUTHORITY TO ESTABLISH COMPENSATION FOR ALL SENIOR EXECUTIVES, WITHIN THE PARAMETERS OF THE PHILOSOPHY, AND WITH FULL AND COMPLETE REPORTING TO THE FULL BOARD. THE COMPENSATION COMMITTEE PERFORMS ITS WORK PURSUANT TO ITS CHARTER AND A COMPENSATION POLICY THAT ESTABLISHES THE PROCESS THE COMMITTEE WILL FOLLOW IN REVIEWING AND APPROVING EXECUTIVE COMPENSATION EACH YEAR. THE COMMITTEE ENSURES THAT ITS PROCESS MEETS THE REBUTABLE PRESUMPTION OF REASONABLENESS ESTABLISHED BY THE IRS. IN ORDER TO ASSIST THE COMMITTEE IN ITS RESPONSIBILITIES, THE COMPENSATION COMMITTEE HIRES INDEPENDENT, OUTSIDE COMPENSATION CONSULTANTS TO ADVISE THE COMMITTEE AND THE BOARD ON THE REASONABLENESS OF OVERALL EXECUTIVE COMPENSATION PROGRAM, INCLUDING COMPENSATION OF THE SPECIFIC EXECUTIVES. THESE CONSULTANTS REPORT DIRECTLY TO THE COMMITTEE AND NOT TO MANAGEMENT. THE COMMITTEE WORKS WITH THESE CONSULTANTS, AND WITH LEGAL COUNSEL, TO ENSURE THAT ALL COMPENSATION PAID, AS WELL AS THE PROCESS FOLLOWED TO DETERMINE SUCH COMPENSATION, IS REASONABLE, MEETS ALL REGULATORY REQUIREMENTS AND IS COMPETITIVE WITH THE RELEVANT MARKET.
FORM 990, PART VI, SECTION C, LINE 19PAGE 6: UMASS MEMORIAL MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AS REQUIRED BY APPLICABLE STATE AND FEDERAL LAWS, AND BY REQUEST ON A CASE-BY-CASE BASIS.
PAGE 8 PART VII SECTION B. INDEPENDENT CONTRACTORS - DESCRIPTION OF SERVICEDESCRIPTION OF SERVICES FOOTNOTE A - SPECIALTY TRADE CONTRACTORS: SUBCONTRACTS TO A VARIETY OF EXHIBIT AND MARKETING SERVICES INCLUDING BUT NOT LIMITED TO: GENERAL CONSULTATION, COST OF MATERIALS AND SUPPLIES, DESIGN, CONSTRUCTION, LABORERS. THIS VENDOR MAY ALSO SUPPLY THEIR OWN LABORERS AS OPPOSED TO SUBCONTRACT.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 54,604,323. NET ASSETS RELEASED FROM RESTRICTIONS 3,517,603. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -21,041,562. BOOK/TAX DIFFERENCES FROM S CORP K-1 264,483. CHANGE IN BENEFICIAL INTERESTS IN PERPETUAL TRUSTS 8,453,509. MISCELLANEOUS -491. NET ASSETS RELEASED FROM RESTRICTION FOR PPE 1,459,814. TEMPORARY RESTRICTED FUND EXPENDITURES -5,851,897. GAIN/(LOSS) ON DISCONTINUED OPERATIONS -4,612,889. ALLOWANCE FOR UNCOLLECTIBLE PLEDGES -53,577. TOTAL TO FORM 990, PART XI, LINE 5: 36,739,316.CHANGES IN NET ASSETS OR FUND BALANCES:
PAGE 1, LINE H(B) LIST OF AFFILIATED ORGANIZATIONSTHE CLINTON HOSPITAL ASSOCIATION; 201 HIGHLAND STREET, CLINTON, MA 01510 EIN: 04-1185520 FISCAL YEAR END: 9/30/2012 MARLBOROUGH HOSPITAL; 157 UNION STREET, MARLBOROUGH, MA 01752 EIN: 04-2104693 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3374724 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL HOSPITALS, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3296271 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL HEALTH VENTURES, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 22-2605679 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL LABORATORIES, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3321703 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL MEDICAL CENTER, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3358564 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL MEDICAL GROUP, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-2911067 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL REALTY, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-2805630 FISCAL YEAR END: 9/30/2012 WING MEMORIAL HOSPITAL CORP.; 40 WRIGHT STREET, PALMER, MA 01069 EIN: 22-2519813 FISCAL YEAR END: 9/30/2012 UMASS MEMORIAL HEALTH CARE, INC. (PARENT); 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3358566 FISCAL YEAR END: 9/30/2012 COMMUNITY HEALTHLINK, INC.; 72 JAQUES AVENUE, WORCESTER, MA 01610 EIN: 04-2626179 FISCAL YEAR END: 9/30/2012 CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC.; 367 PLANTATION STREET, WORCESTER, MA 01605 EIN: 04-2981362 FISCAL YEAR END: 9/30/2012 CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-3172496 FISCAL YEAR END: 9/30/2012 COORDINATED PRIMARY CARE, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-3210002 FISCAL YEAR END: 9/30/2012 HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.; 25 TUCKER ROAD, LEOMINSTER, MA 01453 EIN: 04-2932308 FISCAL YEAR END: 9/30/2012 HEALTHALLIANCE HOSPITALS, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-2103555 FISCAL YEAR END: 9/30/2012 CAITLIN RAYMOND INTERNATIONAL REGISTRY, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 06-1749208 FISCAL YEAR END: 9/30/2012 CLINTON HOSPITAL FOUNDATION, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3357881 FISCAL YEAR END: 9/30/2012GROUP RETURN
SCHEDULE H, PART VI - SUPPLEMENTAL INFORMATION - CONTINUED- CANCER: CANCER WAS THE SECOND LEADING CAUSE OF DEATH IN WORCESTER COUNTY IN 2008. (SOURCE: MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH/MASSCHIP; DALE MAGEE, COMMISSIONER, WORCESTER DEPARTMENT OF PUBLIC HEALTH, HEALTH OF WORCESTER, 2011 REPORT.) OF THOSE DEATHS, LUNG CANCER ACCOUNTED FOR THE GREATEST PERCENTAGE OF CANCER-RELATED DEATHS WITH HIGH ASSOCIATION WITH SMOKING. - SMOKING: APPROXIMATELY 23% OF ADULTS IN THE CITY OF WORCESTER SMOKE COMPARED TO 17% IN THE STATE AND 15% IN THE NATION. KEY HEALTH OBSERVATIONS IN CENTRAL MASSACHUSETTS FROM REGIONAL HEALTH FORUMS IN 2011: -RACIAL AND ETHNIC DISPARITIES ARE MAJOR FACTORS: -HEALTH DISPARITIES IDENTIFIED AMONG LATINO AND BLACK POPULATIONS ACROSS SEVERAL INDICATORS ARE A MAJOR CONCERN -OVERWEIGHT/ OBESITY IS AN INCREASING HEALTH RISK THAT CONTRIBUTES TO RISING DIABETES INCIDENCE -THE PREVALENCE OF DIABETES AMONG WORCESTER COUNTY RESIDENTS IS SLIGHTLY LOWER THAN THE STATE AS A WHOLE. HOWEVER, DIABETES IS MORE PREVALENT AMONG BLACK AND HISPANIC POPULATIONS AND THOSE 65 YEARS OLD AND OVER. -HEART DISEASE IN THE CENTRAL MASSACHUSETTS REGION IS MORE PREVALENT AMONG MALES AND HISPANIC AND LOWER-INCOME POPULATIONS. OVERALL RATES FOR HEART DISEASE IN WORCESTER COUNTY AND THE STATE ARE LOWER THAN THE NATIONAL MEDIAN. -IN WORCESTER COUNTY, SMOKING IS MOST PREVALENT AMONG YOUNG ADULTS AND LOW INCOME RESIDENTS AND AT RATES SIGNIFICANTLY HIGHER THAN THE STATE AS A WHOLE AMONG THOSE GROUPS. -PREVALENCE OF CHRONIC DISEASE AND RISKY BEHAVIORS SUCH AS SMOKING OCCUR AT HIGHER RATES AMONG THOSE WITH LESS THAN A HIGH SCHOOL DEGREE AND LOWER EDUCATIONAL ATTAINMENT. -ACCORDING TO THE WORCESTER POLICE DEPARTMENT, THE CITY OF WORCESTER HAS MORE THAN 60 GANGS CONCENTRATED IN LOW INCOME NEIGHBORHOODS. PROGRAMS THAT ADDRESS YOUTH VIOLENCE PREVENTION ARE VITAL TO ADDRESSING THIS CRITICAL PUBLIC HEALTH ISSUE, PARTICULARLY AMONG INNER-CITY, AT-RISK YOUTH. IN PARTICULARLY, YOUTH HAVE IDENTIFIED HAVING JOBS AND WORKFORCE OPPORTUNITIES, SUCH AS INTERN AND MENTORSHIP PROGRAMS AS A KEY MEANS OF PREVENTING VIOLENCE AND GANG INVOLVEMENT AMONG YOUTH. EMPLOYMENT OPPORTUNITIES ADDITIONALLY PROVIDE NEEDED FINANCES FOR LOW-INCOME YOUTH AS WELL AS EXPOSURE TO THE POSITIVE EXPERIENCE OF EARNING A PAYCHECK TO HELP BREAK THE CYCLE AND MINSETS OF POVERTY. WORCESTER COUNTY'S RESIDENTS ARE DISPROPORTIONATELY AFFECTED BY: -OBESITY/ OVERWEIGHT -INFANT MORTALITY RATES FOR BLACKS AND LATINOS (PARTICULARLY IN THE CITY OF WORCESTER) -SMOKING RATES -AIDS/ HIV AND HEPATITIS C (PARTICULARLY IN THE CITIES OF WORCESTER AND FITCHBURG) -HEROIN/ OPIODS-RELATED INCIDENTS AND DEATHS (PARTICULARLY IN THE CITIES OF WORCESTER AND FITCHBURG) -REPORTED CASES OF CHLAMYDIA INFECTION HAS BEEN INCREASING DRAMATICALLY OVER THE PAST DECADE, DUE PARTLY TO SUCCESSFUL SCREENING OF ASYMPTOMATIC INDIVIDUALS. -THE CITY OF WORCESTER IS A LEADING RESETTLEMENT SITE FOR REFUGEES. THIS GROWING DIVERSITY HAS BROADENED THE NEED FOR INTERPRETER SERVICES FOR MEDICAL CARE. IN ITS FISCAL YEAR 2011, UMASS MEMORIAL HEALTH CARE DELIVERED 122,963 DOCUMENTED INTERPRETATIONS FOR MEDICAL SERVICES IN OVER 87 LANGUAGES. HEALTH CARE SAFETY NET - UMASS MEMORIAL PROVIDES CARE TO THE LARGEST NUMBER OF LOW INCOME PATIENTS IN THE REGION. SCHEDULE H PART III, LINE 2: A COST TO CHARGE RATIO AS DESCRIBED IN PART I, LINE 7 WAS APPLIED TO THE ORGANIZATION'S BAD DEBT EXPENSE WHICH WAS THEN FURTHER REDUCED BY PAYMENTS FROM THE HEALTH SAFETY NET RELATED TO FREE CARE.COMMUNITY INFORMATION - CONTINUED FROM SCHEDULE H

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

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

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP
ONE BIOTECH PARK 355 PLANTATION STWORCESTERMA01605043530755INVESTMENT MANAGEMENTMAN/AEXCLUDED 514501336273815435630-$11,24011.00000
UMASS MEMORIAL MRI OF MARLBOROUGH LLC
157 UNION STREETMARLBOROUGHMA01752202293995MAGNETIC RESONANCE IMAGINGMARELATED536518334535000.56000MARLBOROUGH HOSPITAL
UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC
60 HOSPITAL ROADLEOMINSTERMA01453043561571MAGNETIC RESONANCE IMAGINGMAN/ARELATED10099091171958000.60000

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 OwnershipPercentageOwnershipAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD
PO BOX 1051 GTGRAND CAYMANCJ980226143INSURANCECJN/AC420230491689984361.00000
MEMORIAL OFFICE CONDOMINIUM TRUST
046616900CONDOMINIUM ASSOCIATIONT277524872110.53690306 BELMONT STREETWORCESTERMA01604MAUMASS MEMORIAL MEDICAL CENTER INC
BIO-LAB INC
042708828CLINICAL LABORATORYS68389710304891.00000215 WEST STREETMILFORDMA01757MAUMASS MEMORIAL HEALTH VENTURES INC
116 BELMONT ST INC CO APPLETON CORP
042717865CONDOMINIUM ASSOCIATIONC2373131538860.6304057 SUFFOLK STREETHOLYOKEMA01040MAUMASS MEMORIAL REALTY INC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (25 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
L26543893FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
B3577677FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
Q96997FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
L3941023FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
N932361FAIR VALUE
WING MEMORIAL HOSPITAL CORPORATION
Q300000FAIR VALUE
UMASS MEMORIAL REALTY INC
J4354039FAIR VALUE
UMASS MEMORIAL FOUNDATION INC
O1127995FAIR VALUE
UMASS MEMORIAL HEALTH VENTURES INC
P324523FAIR VALUE
UMASS MEMORIAL LABORATORIES INC
P1536890FAIR VALUE
UMASS MEMORIAL REALTY INC
P369565FAIR VALUE
MARLBOROUGH HOSPITAL
P2055662FAIR VALUE
THE CLINTON HOSPITAL ASSOCIATION
P1525993FAIR VALUE
WING MEMORIAL HOSPITAL CORPORATION
P1942603FAIR VALUE
WING MEMORIAL HOSPITAL CORPORATION
N102648FAIR VALUE
CENTRAL NEW ENGLAND HEALTH ALLIANCE INC
P2389423FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
P136580498FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
P38031793FAIR VALUE
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER INC
P108087FAIR VALUE
COMMUNITY HEALTHLINK INC
P577462FAIR VALUE
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
P20052061FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
C6201996FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
R63360FAIR VALUE
CPC ASSET TRANSFER TO UMM MEDICAL GROUP
Q53437FAIR VALUE
UMM LABS ASSET TRANSFER TO UMM MEDICAL CENTER
Q4530611FAIR VALUE

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