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

View the entire original 990 at ProPublica ↗

Organization
UMASS MEMORIAL HEALTH CARE INC (EIN 04-3358566)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-07-30
IRS object ID
201322119349300602
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)
EIN043358566EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameTODD A KEATINGName
TitleCFO/TREASURERTitle
Phone5088568537Phone
Date Signed2013-07-18DateSigned
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 Receipts289656031GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number3642GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.UMASSMEMORIAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionUMASS MEMORIAL HEALTH CARE, INC. IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICES, TEACHING AND RESEARCH.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI-5142TotalGrossUBI
Net Unrelated Business Txbl Income-5142NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6025631ContributionsGrantsPriorYear
Contributions Grants Current Year3233936ContributionsGrantsCurrentYear
Program Service Revenue Prior Year180835966ProgramServiceRevenuePriorYear
Program Service Revenue CY190420787ProgramServiceRevenueCY
Investment Income Prior Year7438354InvestmentIncomePriorYear
Investment Income Current Year-1590881InvestmentIncomeCurrentYear
Other Revenue Prior Year1903970OtherRevenuePriorYear
Other Revenue Current Year2829358OtherRevenueCurrentYear
Total Revenue Prior Year196203921TotalRevenuePriorYear
Total Revenue Current Year194893200TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year1602995TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY1127995TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1127995TotalFundrsngExpCurrentYear
Other Expense Prior Year200322218OtherExpensePriorYear
Other Expenses Current Year220325900OtherExpensesCurrentYear
Total Expenses Prior Year201925213TotalExpensesPriorYear
Total Expenses Current Year221453895TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5721292RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-26560695RevenuesLessExpensesCY
Total Assets BOY182508694TotalAssetsBOY
Total Assets EOY206354442TotalAssetsEOY
Total Liabilities BOY65099642TotalLiabilitiesBOY
Total Liabilities EOY87390521TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY117409052NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY118963921NetAssetsOrFundBalancesEOY
Mission DescriptionUMASS MEMORIAL HEALTH CARE, INC. IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICES, TEACHING AND RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense153140256Expense
Revenue191831088Revenue
DescriptionTO SUPPORT THE ADVANCEMENT OF THE KNOWLEDGE, EDUCATION, AND RESEARCH AND THE PRACTICE OF HEALTH CARE RELATED SERVICES THROUGH THE OVERSIGHT OF UMASS MEMORIAL HEALTH CARE OPERATIONS AND THE EFFICIENT DELIVERY OF SUPPORT SERVICES.Description
Total Program Service Expense153140256TotalProgramServiceExpense
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
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (44 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeFormerFormer
FINBERG ROBERT W MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.20.00X0291369148150
O'BRIEN JOHN G
PRESIDENT & CEO, DIRECTOR, UMASS MEMORIAL HEALTH C40.00X013449821013473X
OKIKE O NSIDINANYA MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.40.00X038602554809
BENNETT DAVID L
CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BENNETT RICHARD K
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BERKEY DENNIS D
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BERRY SARAH G
EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BUDD JOHN H
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
COLLINS MICHAEL MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
CORNELL LOIS D
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
D'ALELIO EDWARD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
DAVIS DIX F
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
FLOTTE TERENCE MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
JACOBSON M HOWARD
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
KANGAS PAUL
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
LENHARDT STEPHEN W SR
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MACNEILL HARRIS L
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MCMULLEN CYNTHIA M EDD
EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MCNAMARA MARY ELLEN
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
PARRY EDWARD J III
VICE CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
PEDERSON THORU
EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
SEYMOUR-ROUTE PAULETTE PHD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
SIMMONS IRINA
DIRECTOR, UMASS MEMORIAL HEALTH CARE, 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
BROWN DOUGLAS S
SECRETARY, UMASS MEMORIAL HEALTH CARE, INC.40.000539768184108X
KEATING TODD A
TREASURER & CFO, DIRECTOR, UMASS MEMORIAL HEALTH C40.000612027258018X
ANDERSON MILTON C
SR. VP, CHIEF OF HR40.00014507622463X
BLUTE MICHAEL MD
DIRECTOR, UNTIL 3/31/12, CANCER CENTER OF EXCELLEN40.000641582142028X
BOLLAND KATHARINE
VP, DEPUTY GENERAL COUNSEL40.00027164543809X
BRENCKLE GEORGE PHD
SR. VP, CHIEF INFORMATION OFFICER40.000394827138531X
DALEY JENNIFER MD
EXECUTIVE VP, CHIEF OPERATING OFFICER40.000558672137787X
DIAMOND VICTORIA
SR. VP, OPERATIONS40.000345402152517X
ETTINGER WALTER H MD
PRESIDENT - MEDICAL CENTER, UNTIL 1/20/1240.000976752334830X
FAIRCHILD DAVID MD
SR. VP, CLINICAL INTEGRATION40.00021874632765X
FISHER BARBARA
SR. VP, OPERATIONS40.000306822124633X
HYLKA SHARON
SR. VP, HOSPITAL ADMIN.40.000415374275668X
KLUGMAN ROBERT MD
CHIEF QUALITY OFFICER40.000509640278030X
KRUGER NANCY
SR. VP, CHIEF NURSING OFFICER40.00040611858375X
LAPRIORE CHERYL M
CHIEF OF STAFF40.00025562557142X
PHILLIPS ROBERT A MD
MED DIR, HEART & VASCULAR COE40.000812471265640X
RANDOLPH JOHN T
VP, CHIEF COMPLIANCE OFFICER40.000236583163339X
WEBB PATRICIA
SR. VP, CHIEF HR OFFICER, UNTIL 1/2/1140.0003130152162X
SUSSMAN ANDREW J
FORMER SR. VP, CHIEF OPS OFFICER, MED CTR, UNTIL 80.000188246591X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs9889053TotalReportableCompFrmRltdOrgs
Total Other Compensation3938868TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
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 SERVICES LLC
PO BOX 201322DALLASTX75320I/S MANAGEMENT SERVICES24583775
UNIVERSAL HOSPITAL SERVICES INC
PO BOX 86MINNEAPOLISMN554860940MANAGE/SERVICE EQUIPMENT3132754
NUANCE TRANSCRIPTION SERVICES
PO BOX 7247-7343PHILADELPHIAPA19170TRANSCRIPTION SERVICES2203807
MORRISON MAHONEY LLP
270 SUMMER STREETBOSTONMA02210LEGAL SERVICES1118106
MIRICK O'CONNELL
100 FRONT STREETWORCESTERMA01608LEGAL SERVICES1071560
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
Fundraising Events584044FundraisingEvents
Government Grants172911GovernmentGrants
All Other Contributions2476981AllOtherContributions
Noncash Contributions5049NoncashContributions
Total Contributions3233936TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SYSTEM ALLOCATION REVE561000151817302151817302
AFFILIATE RELATED PROG5610003477891534778915
OTHER PSR56100038245703824570
FieldValueIRS element (for citing)
Total Program Service Revenue190420787TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3862259TotalRevenueColumn
Unrelated Business Revenue-5142UnrelatedBusinessRevenue
Exclusion$3,867,401ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities88949909Securities
Other3541Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities94406590Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-5456681Securities
Other3541Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-5453140TotalRevenueColumn
Exclusion-$5,453,140ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events356241GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events584044CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses356241FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISCELLANEOUS INCOME56100014103011410301
SUBLEASE INCOME5610001350681$1,350,681
FieldValueIRS element (for citing)
Total Other Revenue2760982TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column194893200TotalRevenueColumn
Related Or Exempt Function Income191831088RelatedOrExemptFunctionIncome
Unrelated Business Revenue-5142UnrelatedBusinessRevenue
Exclusion-$166,682ExclusionAmount

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1313566Total
Management And General1313566ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total879021Total
Management And General879021ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total771341Total
Program Services771341ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total1127995Total
Fundraising1127995Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total423056Total
Management And General423056ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total20316797Total
Program Services10971070ProgramServices
Management And General9345727ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1187441Total
Program Services1187441ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total19357068Total
Program Services10452817ProgramServices
Management And General8904251ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total44016117Total
Program Services44016117ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6034204Total
Program Services3258470ProgramServices
Management And General2775734ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total485271Total
Program Services485271ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total168990Total
Program Services91255ProgramServices
Management And General77735ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total829Total
Program Services448ProgramServices
Management And General381ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total29611581Total
Program Services29611581ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SYSTEM OVERHEAD ACTIVIT736735503978371733889833
PURCHASED SERVICES1516846599596725208793
ACTUARIAL INCREASE IN P31949273194927
PROFESSIONAL SERVICES20767441121442955302

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1646932Total
Program Services1429614ProgramServices
Management And General217318ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total221453895Total
Program Services153140256ProgramServices
Management And General67185644ManagementAndGeneral
Fundraising1127995Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1496811BOY
EOY6258287EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY11794092BOY
EOY4116306EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1836910BOY
EOY646353EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY379433BOY
EOY4075715EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4390281BOY
EOY5006375EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis93618LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec87402LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7045BOY
EOY6216EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY126648501BOY
EOY146334969EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY33844271BOY
EOY37033173EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY120000BOY
EOY120000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1991350BOY
EOY2757048EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY182508694BOY
EOY206354442EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24902248BOY
EOY32175180EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY400309BOY
EOY412679EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY39797085BOY
EOY54802662EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY65099642BOY
EOY87390521EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY65327640BOY
EOY60533111EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY27069458BOY
EOY32219971EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY25011954BOY
EOY26210839EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY117409052BOY
EOY118963921EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY182508694BOY
EOY206354442EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-26560695ReconcilationRevenueExpenses
Reconcilation Other Changes28115564ReconcilationOtherChanges
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$25,187GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$746,154RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB771341TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationUMASS MEMORIAL HEALTH CARE, INC. PAYS DUES TO THESE RESPECTIVE ORGANIZATIONS, WHO IN TURN, LOBBY ON BEHALF OF ITS MEMBERS. SOME PORTION OF DUES MAY BE UTILIZED FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance34201797BeginningOfYearBalance
Contributions76330Contributions
Investment Earnings Or Losses-5733InvestmentEarningsOrLosses
Other Expenditures-429250OtherExpenditures
End Of Year Balance34701644EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.69000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.31000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2900OtherCostOrOtherBasis
Depreciation2900Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis90718OtherCostOrOtherBasis
Depreciation84502Depreciation
Book Value6216BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6216TotalOfBookValueLandBuildings

Other Securities OtherSecurities (11 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TIFF ABSOLUTE RETURN POOL CLASS A (SHARES 2,878)10893710F
GMO MULTI-STRATEGY FUND (OFFSHORE) LP (SHARES 6,572,802)6572802F
TIFF PRIVATE EQUITY PARTNERS 2006/2007 (SHARES 1,286,870)1286870F
FRANK RUSSELL GLOBAL PRIVATE EQUITY FUND (SHARES 227,704)227704F
MPPLTD PORTFOLIO CLASS A (SHARES 1,979)181267F
AETOS CAPITAL LONG/SHORT STRATEGIES (SHARES 32,440)3242354F
AETOS CAPITAL DISTRESSED STRATEGIES (SHARES 10,687)1348744F
AETOS CAPITAL MULTI-STRATEGY ARBITRAGE (SHARES 17,848)1951015F
TIFF ABSOLUTE RETURN POOL CLASS C (SHARES 1,773)3101004F
MET WEST ENHANCED TALF STRATEGY FUND (SHARES 979,680)979680F
BENEFICIAL INTEREST7248023F
FieldValueIRS element (for citing)
Total Of Book Value Securities37033173TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
O/S LOSS RESERVES$32,774,252
DUE TO RELATED PARTIES$16,593,509
ANNUITY PAYABLE$3,358,800
THIRD PARTY LIABILITES$105,835
DUE TO UNIVERSITY MEDICAL SCHOOL$1,970,266
FieldValueIRS element (for citing)
Total Of Amounts54802662TotalOfAmounts
Total Revenue194893200TotalRevenue
Total Expenses221453895TotalExpenses
Excess Or Deficit For Year-26560695ExcessOrDeficitForYear
Net Unrealized GL On Investments24822631NetUnrealizedGLOnInvestments
Other$3,292,933OtherAmount
Total Adjustments28115564TotalAdjustments
Excess Or Deficit Per FS1554869ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt225922954TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments16088298NetUnrealizedGainsInvestments
Other Revenues15479162OtherRevenues
Revenue Not Rptd F99031567460RevenueNotRptdF990
Revenue Subtotal194355494RevenueSubtotal
Investment Expenses Not Included423056InvestmentExpensesNotIncluded
Other Revenues Not Included114650OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt537706RevenueNotRptdOnFinStmt
Total Revenue Per Form990194893200TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt227643603TotExpensesEtcAuditedFinclStmt
Other Expenses Included6612787OtherExpensesIncluded
Expenses Not Rptd F9906612787ExpensesNotRptdF990
Expenses Subtotal221030816ExpensesSubtotal
Investment Expenses Not Included2423056InvestmentExpensesNotIncluded2
Other Expenses Not Included23OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt423079ExpensesNotRptdOnFinStmt
Total Expenses Per Form990221453895TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:UMASS MEMORIAL'S ENDOWMENT CONSISTS OF APPROXIMATELY 160 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR IMPOSED RESTRICTIONS. UMASS MEMORIAL HAS INTERPRETED UPMIFA AS REQUIRING THE PRESERVATION OF THE ORIGINAL GIFT AS OF THE GIFT DATE OF THE DONOR-RESTRICTED ENDOWMENT FUNDS ABSENT EXPLICIT DONOR STIPULATIONS TO THE CONTRARY. AS A RESULT, UMASS MEMORIAL CLASSIFIES AS PERMANENTLY RESTRICTED NET ASSETS, (A) THE ORIGINAL VALUE OF GIFTS DONATED TO THE PERMANENT ENDOWMENT, (B) THE ORIGINAL VALUE OF SUBSEQUENT GIFTS TO THE PERMANENT ENDOWMENT, AND (C) ACCUMULATIONS TO THE PERMANENT ENDOWMENT MADE IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE ACCUMULATION IS ADDED TO THE FUND. THE REMAINING PORTION OF THE DONOR-RESTRICTED ENDOWMENT FUND THAT IS NOT CLASSIFIED IN PERMANENTLY RESTRICTED NET ASSETS IS CLASSIFIED AS TEMPORARILY RESTRICTED NET ASSETS UNTIL THOSE AMOUNTS ARE APPROPRIATED FOR EXPENDITURE BY UMASS MEMORIAL IN A MANNER CONSISTENT WITH THE STANDARD OF PRUDENCE BY UPMIFA. IN ACCORDANCE WITH UPMIFA, UMASS MEMORIAL CONSIDERS THE FOLLOWING FACTORS IN MAKING A DETERMINATION TO APPROPRIATE OR ACCUMULATED ENDOWMENT FUNDS: - THE DURATION AND PRESERVATION OF THE FUND - THE PURPOSES OF UMASS MEMORIAL AND THE DONOR RESTRICTED ENDOWMENT FUND - GENERAL ECONOMIC CONDITIONS - THE POSSIBLE EFFECT OF INFLATION AND DEFLATION - THE EXPECTED TOTAL RETURN FROM INCOME AND THE APPRECIATION OF INVESTMENTS - OTHER RESOURCES OF THE ORGANIZATION - THE INVESTMENT POLICIES OF THE ORGANIZATION
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:FIN 48 FOOTNOTE: INCOME TAXES - UMASS MEMORIAL FOLLOWS A TWO-STEP APPROACH FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. THE SUBSTANTIAL MAJORITY OF UMASS MEMORIAL AND ITS AFFILIATE ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THESE ENTITIES WILL NOT INCUR ANY LIABILITY FOR FEDERAL INCOME TAXES EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME. CERTAIN AFFILIATES ARE TAXABLE ENTITIES. THE MEASUREMENT OF THE AMOUNTS RECORDED AS A PROVISION FOR INCOME TAXES BASED UPON THE AFOREMENTIONED APPROACH IS NOT MATERIAL AND IS RECORDED AS PART OF SUPPLIES AND OTHER EXPENSE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS OF OPERATIONS. UMASS MEMORIAL DOES NOT BELIEVE IT HAS TAKEN ANY SIGNIFICANT UNCERTAIN TAX POSITIONS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1,120,295. K-1 ACTIVITY FROM PARTNERSHIPS 23. MISCELLANEOUS -3. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 1,667,172. TEMPORARY RESTRICTED FUND EXPENDITURES -5,287,048. TRANSFERS FROM RELATED PARTIES 5,792,494. TOTAL TO SCHEDULE D, PART XI, LINE 8: 3,292,933.
PART XII, LINE 2D: $15,479,162 REVENUE RELATED TO COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY, LTD A WHOLLY OWNED SUBSIDIARY PART XII, LINE 4B: $1,781,822 RESTRICTED REVENUE ($1,667,172) NET ASSETS RELEASED FROM RESTRICTIONS PART XIII, LINE 2D: ($6,612,787) EXPENSES RELATED TO COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY, LTD A WHOLLY OWNED SUBSIDIARY PART XIII, LINE 4B: $23 K-1 ACTIVITY

Schedule G IRS990ScheduleG

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

Fundraiser Activity Information FundraiserActivityInformation

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1333 SOUTH STREETAddressLine1
CitySHREWSBURYCity
StateMAState
ZIP Code01545ZIPCode
FieldValueIRS element (for citing)
ActivityFUNDRAISINGActivity
Fundraiser Control Of Funds1FundraiserControlOfFunds
Gross 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

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WINTER BALLNameOfEvent1
Gross Receipts Event1703770GrossReceiptsEvent1
Charitable Contributions Event1411704CharitableContributionsEvent1
Gross Revenue Event1292066GrossRevenueEvent1
Other Direct Expenses Event1292066OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event2103655GrossReceiptsEvent2
Charitable Contributions Event266613CharitableContributionsEvent2
Gross Revenue Event237042GrossRevenueEvent2
Other Direct Expenses Event237042OtherDirectExpensesEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events132860GrossReceiptsOtherEvents
Charitable Contrib Other Events105727CharitableContribOtherEvents
Gross Revenue Other Events27133GrossRevenueOtherEvents
Other Direct Expenses Other Events27133OtherDirectExpensesOtherEvents
Gross Receipts Total940285GrossReceiptsTotal
Charitable Contributions Total584044CharitableContributionsTotal
Gross Revenue Total Events356241GrossRevenueTotalEvents
Other Direct Expenses Total Events356241OtherDirectExpensesTotalEvents
Direct Expense Summary Events356241DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

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

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

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
FINBERG ROBERT W MD
0239776051593000117989030161043951900
O'BRIEN JOHN G
09246030249750017062909944090190640235845500
OKIKE O NSIDINANYA MD
036532402070100028008026801044083400
BROWN DOUGLAS S
0361891014224203563501613960227120723876035635
KEATING TODD A
0463493010830604022802419220160960870045040228
ANDERSON MILTON C
0128288077880900001449407969016753900
BLUTE MICHAEL MD
05160740125508000109030032998078361000
BOLLAND KATHARINE
021638205526300024830018979031545400
BRENCKLE GEORGE PHD
029354006969703159001140000245310533358031590
DALEY JENNIFER MD
04573640101308000104524033263069645900
DIAMOND VICTORIA
025356106900902283201250070275100497919022832
ETTINGER WALTER H MD
07139310187233075588031331202151801311582070618
FAIRCHILD DAVID MD
019927501947100021725011040025151100
FISHER BARBARA
0242945063877000101787022846043145500
HYLKA SHARON
029785607978403773402541500215180691042037734
KLUGMAN ROBERT MD
038063809263703636502544720235580787670036365
KRUGER NANCY
02876290622120562770470510113240464493036955
LAPRIORE CHERYL M
021134004428500035716021426031276700
PHILLIPS ROBERT A MD
05905170147499074455025304301259701078111074455
RANDOLPH JOHN T
0190451046132000138821024518039992200
SUSSMAN ANDREW J
000001882460591000188837056183

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 ARE TREATED AS TAXABLE COMPENSATION.
PART I, LINE 4BNAME OF PARTICIPANTS IN OR RECEIVING PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN EXECUTIVES DOUGLAS S. BROWN $35,635 FINBERG, ROBERT W., M.D. $0 TODD A. KEATING $40,228 O'BRIEN, JOHN G. $0 SUBTOTAL EXECUTIVES $75,863 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 EMPLOYEES $56,183 TOTAL - ALL $467,896
PART IIIROBERT W. FINBERG, M.D. RECEIVED COMPENSATION FOR HIS SERVICES RELATED TO MEDICAL RESEARCH, EDUCATION OF MEDICAL STUDENTS AND RESIDENT TRAINING FROM AN UNRELATED ORGANIZATION. THE NAME OF THE UNRELATED ORGANIZATION IS UMASS MEDICAL SCHOOL. ROBERT W. FINBERG, M.D. $290,601 PART 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.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SUSAN ETTINGER
CMG - FAMILY MEMBER OF WALTER ETTINGER, KEY EMPLOYEE29066EMPLOYMENT ARRANGEMENT0
ROBERT KLUGMAN MD
KEY EMPLOYEE217697RENTAL OF PROPERTY - EXPENSE0
WILLIAM F SULLIVAN SR
BOD - CMMIC, LABS, VENTURES, CRIR46452INDEPENDENT CONTRACTOR ARRANGEMENT0
JOHN BUDD
BOD - PARENT, MED CTR, LABS, VENTURES, CRIR, CMMIC621379INDEPENDENT CONTRACTOR ARRANGEMENT0
KATHERINE COOLIDGE
BOD - WING, CURRENT DIRECTOR63910INDEPENDENT CONTRACTOR ARRANGEMENT0
ELAINE GRANVILLE RN
UMMMC, FAMILY MEMBER OF CHERYL LAPRIORE, KEY EMPLOYEE61511EMPLOYMENT ARRANGEMENT0
KATHLEEN HYLKA
UMM CAPITAL PLANNING - FAMILY MEMBER OF SHARON HYLKA, KEY EMPLOYEE95396EMPLOYMENT ARRANGEMENT0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2UMMHC 2012 BUDD, JOHN (BOARD MEMBER) HAS BUSINESS RELATIONSHIPS WITH PAUL D'ONFRO & ARTHUR BERGERON. BUDD, JOHN (BOARD MEMBER) HAS BOARD RELATIONSHIP WITH HARVARD PILGRIM HEALTH CARE PHILLIPS, ROBERT (KEY EMPLOYEE) HAS A FAMILY RELATIONSHIP WITH JULIA ANDRIENI
FORM 990, PART VI, SECTION A, LINE 6THERE ARE NO CLASSES OF DIRECTORS. THE VOTING RIGHTS OF THE UMASS MEMORIAL'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 RELATE TO EXECUTIVE COMPENSATION AND, SCHEDULE J ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD. THE COMPLIANCE COMMITTEE OF THE BOARD REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990, INCLUDING THE ABOVE SCHEDULES AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL. THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS AND MANAGEMENT TO COMPLETE ANNUAL DISCLOSURE STATEMENTS AND, TO UPDATE THESE DISCLOSURE STATEMENTS FOR SIGNIFICANT CHANGES IN THEIR OUTSIDE GOVERNANCE AND PROFESSIONAL ACTIVITIES OR, FINANCIAL RELATIONSHIPS AS APPROPRIATE. ADDITIONALLY, ALL TRANSACTIONS INVOLVING BOARD MEMBERS OR MANAGEMENT AND THE ORGANIZATION ARE REQUIRED TO BE APPROVED BY THE COMPLIANCE COMMITTEE OF THE BOARD AND, THERE IS ACTIVE MONITORING AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH DECISIONS.
FORM 990, PART VI, SECTION B, LINE 15AT UMASS MEMORIAL HEALTH CARE INC., 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 19UMASS 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.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 24,822,631. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1,120,295. K-1 ACTIVITY FROM PARTNERSHIPS 23. MISCELLANEOUS -3. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 1,667,172. TEMPORARY RESTRICTED FUND EXPENDITURES -5,287,048. TRANSFERS FROM RELATED PARTIES 5,792,494. TOTAL TO FORM 990, PART XI, LINE 5: 28,115,564.CHANGES IN NET ASSETS OR FUND BALANCES:
PAGE 12, PART XI, LINE 2CTHE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM ON A CONSOLIDATED BASIS. THE ORGANIZATION HAS AN AUDIT COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT ACCOUNTING FIRM.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
UMASS MEMORIAL FOUNDATION INC
333 SOUTH STREETSHREWSBURYMA01545043108190FUNDRAISING SUPPORTMA501( C)(3)11CN/A0
HEALTH ALLIANCE REALTY CORPORATION
60 HOSPITAL ROADLEOMINISTERMA01473042560754REAL ESTATE MANAGEMENTMA501( C)(2)N/AN/A0

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP
ONE BIOTECH PARK 365 PLANTATION STWORCESTERMA01605043530755INVESTMENT MANAGEMENTMAN/AEXCLUDED 514501336273815435630-$11,24011.00000
UMASS MEMORIAL MARLBOROUGH 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 STREETHOLYOKEMA01040MAUMM REALTY
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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 Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (23 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

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